Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Subaxial Injury Classification and Severity Scale (SLICS)

    Classifies subaxial cervical spine injury and provides treatment recommendations.
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    INSTRUCTIONS

    May be used with x-ray or MRI.

    Pearls/Pitfalls

    MRI may show signal change in minor injuries and can lead to over-reporting of injuries (worse scores).

    No abnormality
    0
    Compression
    +1
    Burst
    +2
    Distraction (e.g. facet perch, hyperextension)
    +3
    Rotation/translation (e.g. facet dislocation, unstable teardrop or advance-stage flexion compression injury)
    +4
    Intact
    0
    Indeterminate (e.g. isolated interspinous widening, MRI signal changes only)
    +1
    Disrupted (e.g. widening of the disk space, facet perch or dislocation, kyphotic deformity)
    +2
    Intact
    0
    Root injury
    +1
    Complete cord injury
    +2
    Incomplete cord injury
    +3

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    The decision for operative vs non-operative treatment in equivocal cases (i.e., SLICS = 4) should be based on clinician judgment, with shared decisionmaking as appropriate.

    About the Creator
    Dr. Alpesh A. Patel
    Are you Dr. Alpesh A. Patel?