Slic System

Dr. Ahmed Mirza Al-Shammasi, MB ChB 2031040009 KFHU – Saudi Arabia

Outlines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object]

The SLIC system and Severity Score ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Injury Morphology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Loss of height of VB or Disruption of vertebral endplate Anatomical dissociation of the spine through the vertical axis Horizontal displacement of one VB with respect to another

DLC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Abnormal facet alignment Widening of anterior disc space Translation/rotation of VB Kyphotic alignment Radiographic disruption is not obvious Hyper-intense signal through disc or posterior ligament region

Neurological status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continued Cord Compression

Minor Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Application of SLIC system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Application of SLIC system ,[object Object],[object Object],[object Object],Score Interpretation < 4 Non-operative Treatment 4 Operative vs. Non-operative ≥ 5 Operative Treatment

Illustrative Case No. 1 ,[object Object],[object Object],[object Object]

CT: Burst fracture of C-7 vertebra MRI: Normal signal intensity of disc and both the anterior and posterior ligamentous structures

Total SLIC score = 2 Non-surgical treatment

Illustrative Case No. 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Total SLIC score = 6 Surgical treatment

Discussion (Old vs. New) Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Discussion (Old vs. New) Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object]

Drawbacks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Slic System

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