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Calcimator

Spine Compression Score Calculator

Evaluate vertebral compression fractures with Genant grading, TLICS scoring, and treatment recommendations.

Inputs

%

Results

Genant fracture grade (0-3)

2

TLICS score

3

Treatment recommendation (0-2)0
ODI category (0-4)2
Annual refracture risk (%)10
Vertebroplasty candidate? (0/1)1
Pain management level (0-3)2
Genant LabelModerate compression (25-40% height loss)
Odi CategorySevere disability
Neuro NameNo neurological deficit
How to Use This Calculator
  1. Enter the Vertebral height loss (%) from imaging — measured as the percentage reduction in anterior body height compared to the posterior height.
  2. Enter the number of Affected levels and current Pain VAS (0–10).
  3. Enter the ODI score (0–100 from the Oswestry Disability Index questionnaire) and Kyphotic angle change in degrees.
  4. Enter the DEXA T-score and Neurological deficit level (0 = none, 1 = radiculopathy, 2 = myelopathy/cauda equina).
  5. Review the Genant fracture grade (0–3), TLICS score and treatment recommendation, ODI disability category, subsequent fracture risk (%), and whether cement augmentation (vertebroplasty/kyphoplasty) candidacy criteria are met.

What each input means

Vertebral height loss (%)
Percentage of vertebral body height lost.
Affected levels
Number of vertebral levels with compression fractures.
Pain VAS (0-10)
Visual Analog Scale pain score.
ODI score (0-100)
Oswestry Disability Index score.
Kyphotic angle change (deg)
Change in segmental kyphosis in degrees.
DEXA T-score
Bone density T-score from DEXA scan.
Neurological deficit (0-3)
0=None, 1=Radiculopathy, 2=Cord compression, 3=Cauda equina.

What each result means

Genant fracture grade (0-3)
0=Normal, 1=Mild (20-25%), 2=Moderate (25-40%), 3=Severe (>40%)
TLICS score
Thoracolumbar Injury Classification. <=3=non-op, 4=equivocal, >=5=operative.
Treatment recommendation (0-2)
0=Non-operative, 1=Equivocal, 2=Operative
ODI category (0-4)
0=Minimal, 1=Moderate, 2=Severe, 3=Crippling, 4=Bed-bound
Annual refracture risk (%)
Estimated annual risk of a new vertebral compression fracture.
Vertebroplasty candidate? (0/1)
1 if potentially a candidate for cement augmentation procedure.
Pain management level (0-3)
0=OTC, 1=Prescription, 2=Short-term opioids, 3=Interventional

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Vertebral height loss (%) = 30, Affected levels = 1, Pain VAS (0-10) = 6, ODI score (0-100) = 40 = 7 input(s) provided
  2. Calculate Genant fracture grade
    2 = 2
  3. Calculate TLICS score
    TLICS score
    3 = 3
  4. Calculate Treatment recommendation
    0 = 0
  5. Calculate ODI category
    2 = 2

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