Spinal cord injury without radiographic abnormality (SCIWORA) in an adult

Year 2016, Volume: 6 Issue: 2, 122 - 125, 06.04.2016

Vural Hamzaoglu Tevfik Yılmaz Ulaş Çıkla Hakan Özalp

https://doi.org/10.16899/ctd.15027

Abstract

ABSTRACT:

Spinal Cord Injury Without Radiographic Abnormality defines the clinical symptoms of traumatic myelopathy with no radiographic or computed tomographic features of spinal fracture or instability. This condition mostly affects the children below 8-years old and a rare phenomenon in adults. We aimed to report an adult patient with spinal cord injury without radiographic abnormality after a heavy fall of truck holder to his head and neck regions.

 

Keywords

SCIWORA; Spinal cord injury; traumatic myelopathy

Spinal cord injury without radiographic abnormality (SCIWORA) in an adult

Abstract

et Radyografik anormalliğin eşlik etmediği spinal kord hasarı; radyografik olarak veya bilgisayarlı tomografide omurga kırığı ya da instabilitesinin saptanmadığı travmatik myelopatiyi tarif etmektedir. Bu durum çoğunlukla 8 yaş altı çocukları etkilemekte, erişkinde ise nadiren görülmektedir. Biz de baş ve boyun bölgesine kamyon kasası çarpması sonrası radyografik anormalliğin eşlik etmediği spinal kord hasarı bulguları gösteren erişkin hastanın sunumunu amaçladık

Keywords

SCIWORA, spinal kord hasarı, travmatik myelopati

References

• Pang D, Wilberger JE, Jr. Spinal cord injury without radiographic abnormalities in children. J Neurosurg. 1982;57(1):114–129.
• Burke DC. Traumatic spinal paralysis in children. Paraplegia. 1974;11:268–76.
• Eleraky MA, Theodore N, Adams M, Rekate HL, Sonntag VK. Pediatric cervical spine injuries: report of 102 cases and review of the literature. J Neurosurg. 2000;92(Suppl 1):12–17.
• Kothari P, Freeman B, Grevitt M, Kerslake R. Injury to the spinal cord without radiological abnormality (SCIWORA) in adults. J Bone Joint Surg Br. 2000;82(7):1034–37.
• Parent S, Mac-Thiong JM, Roy-Beaudry M, Sosa JF, Labelle H. Spinal cord injury in the pediatric population: a systematic review of the literature. J Neurotrauma. 2011;28(8):1515–24.
• Kasimatis GB, Panagiotopoulos E, Megas P, et al. The adult spinal cord injury without radiographic abnormalities syndrome: magnetic resonance imaging and clinical findings in adults with spinal cord injuries having normal radiographs and computed tomography studies. J Trauma. 2008;65(1):86–93.
• Launay F, Leet AI, Sponseller PD. Pediatric spinal cord injury without radiographic abnormality: a meta-analysis. Clin Orthop Relat Res. 2005;(433):166–70.
• El Masri WS, Kumar N. Traumatic spinal cord injuries. Lancet. 2011;377:972–74.
• Szwedowski D, Walecki J. Spinal Cord Injury without Radiographic Abnormality (SCIWORA) – Clinical and Radiological Aspects. Pol J Radiol. 2014; 79: 461–464.
• West OC, Anbari MM, Pilgram K, Wilson AJ. Acute cervical spine trauma: diagnostic performance of single view versus three-view radiographic screening. Radiology. 1997;204:819–23.
• Rozzelle CJ, Aarabi B, Dhall SS, et al. Spinal Cord Injury Without Radiographic Abnormality (SCIWORA). Neurosurgery. 2013;72:227–33.
• Bracken MB, Shepard MJ, Collins WF, et al. A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal cord injury. Results of the second national acute spinal cord injury study. N Engl J Med 1990; 322: 1405-1415.