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SCIWORASpinal Cord Injury Without Radiographic Abnormalities
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SCIWORA is more commonly seen in the pediatric age group than in adults and involves the cervical spine more frequently than the thoracolumbar spine.
Several mechanisms have been proposed to cause SCIWORA including spinal cord traction injury due to hyperflexion, extrinsic cord damage from hyperextension, and parenchymal cord damage resulting from edema or vascular injury [12].
Keywords: Post-Traumatic Myelopathy, Spinal cord injuries, Adults, Magnetic resonance imaging, SCIWORA.
The term Spinal cord injury without radiographic abnormality (SCIWORA) is defined as a syndrome of post traumatic myelopathy that is demonstrable through magnetic resonance imaging (MRI) of the spinal cord, with no evidence of osseous injury on radiographic or computerized tomography (CT) study.
SCIWORA (Spinal Cord Injury without Radiographic Abnormality): This was noted in 9 cases all in the cervical region.
SCIWORA was noted in 9 cases accounting for 7.8%of the cases.
Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) was defined by Pang in 1982 as a disorder demonstrated by objective signs of myelopathywithout evidence of ligamentous injury or fractures on X-Ray films or Computerized Tomographic (CT) Scan1.
Yaralanma tipleri yonunden SCIWORA ve subluksasyon tek basina daha cok kucuk yaslardaki cocuklarda, vertebra kiriklari ise cogunlukla buyuk yaslardaki cocuklarda gorulur (11,19).
Almost unique to the pediatric age group is the phenomenon of spinal cord injury without radiographic abnormality (SCIWORA), which is more common in children under the age of 8 years.
In addition, pain may be present in cases of SCIWORA, as discussed previously.
Ayrintili inceleme yapilmayan bazi vakalarda kirik hatti gozden kacirilarak, yaralanma yanlislikla SCIWORA olarak degerlendirilebilir.
(22-25) In a study of 319 patients with significant cervical spine trauma (including 261 fractures, 24 bilateral facet dislocations, 22 unilateral facet dislocation, and 12 cases of SCIWORA), 52 patients had a vertebral artery injury diagnosed by MRA.