I would assume, that your $N\times N$ system has the following form:
$$
\underbrace{\begin{pmatrix}
b_1 & c_1 & & & & 0 \\
a_1 & b_2 & c_2 & & & \\
s_1 & a_2 & b_3 & c_3 & & \\
& s_2 & a_3 & b_4 & \ddots & \\
& & \ddots & \ddots & \ddots & c_{N-1}\\
0 & & & s_{N-2} & a_{N-1} & b_N
\end{pmatrix}}_{M}
\begin{pmatrix}
x_1\\
x_2\\
x_3\\
x_4\\
\vdots\\
x_{N}
\end{pmatrix}=
\begin{pmatrix}
d_1\\
d_2\\
d_3\\
d_4\\
\vdots\\
d_{N}
\end{pmatrix}
\tag{1}
\label{fourDiagSystem}
$$
So, our matrix $M$ is a four-diagonal matrix (lower bandwidth = 2, upper bandwidth = 1), where $\{s_1,\ldots,s_{N-2} \}$ is the "additional" (to the classic triadiagonal case) lower diagonal.
So, if all $s_i$ are zeroes, this matrix can be solved using the classical tridiagonal algorithm (Thomas).
There are several ways to look at this problem:
- Explicitly derive the expressions for this four-diagonal case, similar to the derivation of the Thomas algorithm.
- The derivation in the previous "approach" can go along Crout's method. For example, see Numerical Recepies (Sections 2.3, 2.4).
- Use block-tridiagonal algorithm (Thomas algorithm for block matrices) with block size of $2\times 2$.
Since the question asks directly about using Thomas algorithm, I would go only into the third point.
Assume (without loss of generality) $N$ being even. Then, $M$ from $\eqref{fourDiagSystem}$ can be rewritten, as follows:
$$
M=\begin{pmatrix}
\underbrace{\begin{pmatrix} b_1 & c_1 \\ a_1 & b_2 \end{pmatrix}}_{B_{1}} &
\underbrace{\begin{pmatrix} 0 & 0 \\ c_2 & 0\end{pmatrix}}_{C_{1}} &
&
\\
\underbrace{\begin{pmatrix} s_1 & a_2 \\ 0 & s_2 \end{pmatrix}}_{A_{1}} &
\underbrace{\begin{pmatrix} b_3 & c_3 \\ a_3 & b_4 \end{pmatrix}}_{B_{2}} &
\underbrace{\begin{pmatrix} 0 & 0 \\ c_4 & 0\end{pmatrix}}_{C_{2}} &
\\
&
\underbrace{\begin{pmatrix} s_3 & a_4 \\ 0 & s_4 \end{pmatrix}}_{A_{2}} &
\underbrace{\begin{pmatrix} b_5 & c_5 \\ a_5 & b_6 \end{pmatrix}}_{B_{2}} &
\ddots
\\
&
\ddots &
\ddots &
\underbrace{\begin{pmatrix}
0 & 0\\
c_{N-2} & 0
\end{pmatrix}}_{C_{N/2-1}}
\\
&
&
\underbrace{\begin{pmatrix}
s_{N-3} & a_{N-2}\\
0 & s_{N-2}
\end{pmatrix}}_{A_{N/2-1}}
&
\underbrace{\begin{pmatrix}
b_{N-1} & c_{N-1}\\
a_{N-1} & b_{N}
\end{pmatrix}}_{B_{N/2}}
\end{pmatrix}
$$
or, removing the clarifying annotations, $\eqref{fourDiagSystem}$ becomes:
$$
\underbrace{\begin{pmatrix}
B_1 & C_1 & & &0\\
A_1 & B_2 & C_2 &\\
& A_2 & B_3 & \ddots &\\
& & \ddots & \ddots & C_{N/2-1}\\
0 & & & A_{N/2-1} & B_{N/2}
\end{pmatrix}}_{M_\text{block}}
\begin{pmatrix}
Y_1\\
Y_2\\
Y_3\\
\vdots\\
Y_{N/2}
\end{pmatrix}=
\begin{pmatrix}
D_1\\
D_2\\
D_3\\
\vdots\\
D_{N/2}
\end{pmatrix}
\tag{2}
\label{triBlockDiagSystem}
$$
Now, in $\eqref{triBlockDiagSystem}$, $M_\text{block}$ is simply a $2\times 2$ block representation of $M$ in $\eqref{fourDiagSystem}$.
$$
B_i=\begin{pmatrix}
b_{2i-1} & c_{2i-1}\\
a_{2i-1} & b_{2i}
\end{pmatrix},\quad
A_j=\begin{pmatrix}
s_{2j-1} & a_{2j}\\
0 & s_{2j}
\end{pmatrix},\quad
C_j=\begin{pmatrix}
0 & 0\\
c_{2j} & 0
\end{pmatrix},\\
i=1,\ldots,\frac{N}{2},\quad j=1,\ldots,\frac{N}{2}-1
$$
Now, you can apply the block-Thomas algorithm to the $\eqref{triBlockDiagSystem}$, in which you can also take advantage of the special structure of your $C_j$ and $A_j$ blocks.
For the details on block-Thomas, you can refer to Chapter 2.5 of MA/CSC 580: Numerical Analysis I course by R. E. White from North Carolina, but they are effictively standard non-blocked Thomas where operations with scalars are changed to their counterparts with matrices (scalar-scalar product and scalar division become matrix-matrix product and inverse, or, more stable small, $2\times 2$ in your case, system solve).
Also, see the discussion in this related CompSci question on block-tridiagonal algorithm.