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Injury to the spinal cord without any radiographic abnormality in a child

Year 2002, Volume: 36 Issue: 3, 268 - 272, 11.09.2006

Haldun Orhun Gursel Saka Tugrul Berkel

Abstract

Spinal cord injury without radiographic abnormalities (SCIWORA) is a diagnostic challenge most commonly encountered in pediatric patients. The unique hypermobility and ligamentous laxity of the pediatric bony cervical and thoracic spine may predispose to SCIWORA. A four-year-old girl was admitted for polytrauma. During monitorization deterioration in her neurological status was observed. Magnetic resonance imaging (MRI) showed an abnormal intensity in the spinal cord at the level of T11-L3, suggesting SCIWORA. We did not consider surgery and treated the patient with a conservative approach and rehabilitation program. The patient achieved a functional capacity sufficient to perform essential activities. A detailed neurologic examination should be undertaken particularly in polytrauma pediatric patients and MRI should be employed in suspected cases.

Keywords

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Çocukta vertebra kırığı olmaksızın gelişen spinal kord yaralanması

Year 2002, Volume: 36 Issue: 3, 268 - 272, 11.09.2006

Haldun Orhun Gursel Saka Tugrul Berkel

Abstract

Radyografik bulgu olmaksızın spinal kord yaralanması (spinal cord injury without radiographic abnormalities-SCIWORA) tanısı çok zor olan, sıklıkla çocuklarda gözlenen bir patolojidir. Çocukların bağ yapısı gevşek olduğu için, özellikle servikal ve torakal vertebra düzeylerinde sık gözlenir. Hastanemiz acil servisine getirilen dört yaşındaki politravmalı kız çocuğun takibi sırasında nörolojik profilin değişmesi üzerine yapılan MRG incelemesi ile T11-L3 düzeyinde SCIWORA saptandı. Olgumuzda cerrahi bir yaklaşım düşünülmedi; rehabilitasyon programına alındı. Hastaya yürüme cihazı ile kendi ihtiyaçlarını görür bir fonksiyon kazandırıldı. Özellikle politravmalı çocuklarda, ciddi nörolojik takibin ve şüpheli her olguda manyetik rezonans görüntüleme (MRI) incelemesinin yapılması gerekir.

Keywords

child;magnetic resonance imaging;myelography;neurologic examination;spinal cord injuries/diagnosis;complications/diagnosis;physiopathology/diagnosis;radiography/diagnosis;spinal injuries/radiography;spine/physiopathology;syndrome

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Details

Primary Language English
Journal Section Case Report
Authors

Haldun Orhun This is me

Gursel Saka This is me

Tugrul Berkel This is me

Publication Date September 11, 2006
Published in Issue Year 2002 Volume: 36 Issue: 3

Cite

APA Orhun, H., Saka, G., & Berkel, T. (2006). Injury to the spinal cord without any radiographic abnormality in a child. Acta Orthopaedica Et Traumatologica Turcica, 36(3), 268-272. https://doi.org/10.3944/aott.v36i3.900
AMA Orhun H, Saka G, Berkel T. Injury to the spinal cord without any radiographic abnormality in a child. Acta Orthopaedica et Traumatologica Turcica. September 2006;36(3):268-272. doi:10.3944/aott.v36i3.900
Chicago Orhun, Haldun, Gursel Saka, and Tugrul Berkel. “Injury to the Spinal Cord Without Any Radiographic Abnormality in a Child”. Acta Orthopaedica Et Traumatologica Turcica 36, no. 3 (September 2006): 268-72. https://doi.org/10.3944/aott.v36i3.900.
EndNote Orhun H, Saka G, Berkel T (September 1, 2006) Injury to the spinal cord without any radiographic abnormality in a child. Acta Orthopaedica et Traumatologica Turcica 36 3 268–272.
IEEE H. Orhun, G. Saka, and T. Berkel, “Injury to the spinal cord without any radiographic abnormality in a child”, Acta Orthopaedica et Traumatologica Turcica, vol. 36, no. 3, pp. 268–272, 2006, doi: 10.3944/aott.v36i3.900.
ISNAD Orhun, Haldun et al. “Injury to the Spinal Cord Without Any Radiographic Abnormality in a Child”. Acta Orthopaedica et Traumatologica Turcica 36/3 (September 2006), 268-272. https://doi.org/10.3944/aott.v36i3.900.
JAMA Orhun H, Saka G, Berkel T. Injury to the spinal cord without any radiographic abnormality in a child. Acta Orthopaedica et Traumatologica Turcica. 2006;36:268–272.
MLA Orhun, Haldun et al. “Injury to the Spinal Cord Without Any Radiographic Abnormality in a Child”. Acta Orthopaedica Et Traumatologica Turcica, vol. 36, no. 3, 2006, pp. 268-72, doi:10.3944/aott.v36i3.900.
Vancouver Orhun H, Saka G, Berkel T. Injury to the spinal cord without any radiographic abnormality in a child. Acta Orthopaedica et Traumatologica Turcica. 2006;36(3):268-72.