Comment on the Paper by Abbo et al. Entitled ‘Delayed Diagnosis of Neurologic Bladder following Spinal Cord Injury without Radiologic Abnormality'

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Spinal cord injury without radiographic abnormality (SCIWORA).

Spinal cord injury without radiographic abnormality (SCIWORA) is associated with self-reducing transient subluxation or distraction of the juvenile spine. It accounts for about 40% of spinal injuries in children under sixteen. Children's anatomical features increase their susceptibility to hyperflexion, hyperextension and distraction mechanisms. Nursing management includes an awareness of two o...

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Spinal cord injury without radiological abnormality (SCIWORA).

SCIWORA or Spinal Cord Injury Without Radiological Abnormality; is a pre-MRI term that includes injuries to the spinal cord in the absence of radiological (plain radiographs, tomographs and CT scans) evidence of injury to the spinal column or cord. It occurs in skeletally immature spines because of the inherent plasticity of the bony structures in this age group. The prognosis is dependent on t...

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Posttraumatic Spinal Cord Injury without Radiographic Abnormality

"Spinal Cord Injury without Radiographic Abnormality" (SCIWORA) is a term that denotes objective clinical signs of posttraumatic spinal cord injury without evidence of fracture or malalignment on plain radiographs and computed tomography (CT) of the spine. SCIWORA is most commonly seen in children with a predilection for the cervical spinal cord due to the increased mobility of the cervical spi...

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Spinal cord injury without radiographic abnormality.

DIAGNOSIS STANDARDS There is insufficient evidence to support diagnostic standards. GUIDELINES There is insufficient evidence to support diagnostic guidelines. OPTIONS Plain spinal x-rays of the region of injury and computed tomographic scanning with attention to the suspected level of neurological injury to exclude occult fractures are recommended. Magnetic resonance imaging of the regi...

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Delayed Magnetic Resonance Imaging in Patients With Cervical Spinal Cord Injury Without Radiographic Abnormality.

STUDY DESIGN A prospective imaging study to develop diagnostic criteria. OBJECTIVE The aim of this study was to investigate image findings on delayed magnetic resonance imaging (MRI) after the acute phase of spinal cord injury without radiographic abnormality (SCIWORA) and their relationship with symptom severity. SUMMARY OF BACKGROUND DATA MRI is used to diagnose acute neurological injury,...

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ژورنال

عنوان ژورنال: Pediatric Neurosurgery

سال: 2013

ISSN: 1016-2291,1423-0305

DOI: 10.1159/000360368