Injury to the spinal cord without radiological abnormality (SCIWORA) in adults.
نویسندگان
چکیده
Injury to the spinal cord without radiological abnormality often occurs in the skeletally immature cervical and thoracic spine. We describe four adult patients with this diagnosis involving the cervical spine with resultant quadriparesis. The relevant literature is reviewed. The implications for initial management of the injury, the role of MRI and the need for a high index of suspicion are highlighted.
منابع مشابه
Spinal Cord Injury without Radiographic Abnormality (SCIWORA) – Clinical and Radiological Aspects
The acronym SCIWORA (Spinal Cord Injury Without Radiographic Abnormality) was first developed and introduced by Pang and Wilberger who used it to define "clinical symptoms of traumatic myelopathy with no radiographic or computed tomographic features of spinal fracture or instability". SCIWORA is a clinical-radiological condition that mostly affects children. SCIWORA lesions are found mainly in ...
متن کاملSpinal Cord Injury without Radiological Abnormality in an 8 Months Old Female Child: A Case Report
INTRODUCTION Spinal cord injury in children frequently occurs without fracture or dislocation. SCIWORA is a syndrome occurring when the spinal cord sustains neural damage during a traumatic event without positive radiographic findings. The incidence of SCIWORA was found to be 8% to 32% in various studies with very few cases documented in children below the age of 1 year. We report such a case o...
متن کاملSpinal 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...
متن کاملSpinal Cord Injury Without Radiological Abnormality in Adult Thoracic Spinal Trauma
INTRODUCTION Spinal cord injury without radiological abnormality (SCIWORA) is a rare entity and usually involves the cervical spine. Thoracic spine involvement is very rare due to the stability provided by the rib cage. The mechanisms of injury and pathophysiology are still debatable. CASE PRESENTATION We present a case of an adult male who had road traffic accident and presented with paraple...
متن کاملSpinal cord injury without radiographic abnormality: results of the National Emergency X-Radiography Utilization Study in blunt cervical trauma.
BACKGROUND The purpose of this study was to better define the incidence and characteristics of patients with spinal cord injury without radiographic abnormality (SCIWORA), using the database of the National Emergency X-Radiography Utilization Study (NEXUS). METHODS This was a prospective, observational study of blunt trauma patients in 21 U.S. medical centers undergoing plain cervical radiogr...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 82 7 شماره
صفحات -
تاریخ انتشار 2000