VandenBerg J, et al. - The diagnostic accuracy of the injury mechanism, physical examination, associated injuries, clinical decision aids, and imaging for evaluating blunt thoracolumbar spine (TL-spine) trauma patients was quantified. They searched for studies including adult blunt TL-spine trauma using PubMed, Embase, Scopus, CENTRAL, Cochrane Database of Systematic Reviews, and ClinicalTrials.gov. The weighted pretest probability of a TL-spine fracture was noted to be 15% in blunt trauma patients in the Emergency Department. Compared to plain films, computed tomography (CT) is identified to be more accurate for detecting TL-spine fractures. To rule-in or rule-out TL-spine fractures, injury mechanism, physical examination, and associated injuries alone are not accurate.