Management | Points | |
---|---|---|
Nonoperative | Less than 3 | |
Nonoperative or Operative | 4 | |
Operative | Greater than 4 | |
Operative Approach Algorithm | ||
Neurological Status | PLC Intact | PLC Disrupted |
Intact | Posterior approach | Posterior approach |
Root Injury | Posterior approach | Posterior approach |
Incomplete cord or cauda equina | Anterior approach | Combined |
Complete cord or cauda equina | Posterior or combined | Posterior or combined |