AO Spine Thoracolumbar Injury Classification (TL AOSIS)

AO Spine thoracolumbar injury classification, with the TL AOSIS severity score summed from it.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Morphology
A4 - complete burst: both endplates, with the posterior wall involved
Neurological status
N3 - incomplete spinal cord or cauda equina injury
M1 - posterior ligamentous complex injury that imaging leaves indeterminate
Yes

Result: AO Spine A4 N3 M1, TL AOSIS 10 of a possible 13: surgical treatment preferred.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Morphology
  • Neurological status
  • M1 - posterior ligamentous complex injury that imaging leaves indeterminate
  • M2 - patient-specific comorbidity (ankylosing spondylitis, DISH, severe osteoporosis, burns)
How this is calculated

Vaccaro AR, Oner C, Kepler CK, et al. AOSpine thoracolumbar spine injury classification system: fracture description, neurological status, and key modifiers. Spine (Phila Pa 1976). 2013;38(23):2028-2037. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

Browse all tools

Built by Clay Good. Source on GitHub.