Agreement and discordance between the modified thoracolumbar injury classification and severity score and the thoracolumbar AOSpine injury score in guiding surgical decision-making for thoracolumbar fractures: a comparative study.
For burst fractures with intervertebral disc involvement, mTLICS tends to recommend surgery more often, reflecting a difference in classification behaviour rather than a demonstrated clinical advantage, and mTLICS and TL AOSIS show substantial concordance as decision-support tools for thoracolumbar fractures.