SCIWORA


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SCIWORA

Spinal cord injury without radiologic abnormality Neurosurgery Serious spinal cord damage and disruption of tracts without a Fx, an event that is most common in children Mechanisms Flexion, hyperextension, longitudinal distraction and ischemia causing complete severe partial cord lesions Management Regional stabilization, exploration
References in periodicals archive ?
4 With an increased availability and usage, MRI has now become an investigation of choice for the diagnosis of SCIWORA.
Most cases of SCIWORA occur in cervical spine owing to its hypermobility and increased vulnerability to trauma.
6 Till now, no strict rule has been established for treating SCIWORA and an obvious difference of opinion exists among clinicians regarding its surgical and conservative management.
It has been postulated that patients with SCIWORA have a better prognosis than the patients with concomitant osseous injury.
SCIWORA can have a wide spectrum of neurological dysfunction, ranging from mild, transient spinal cord concussive deficits to permanent, complete injuries of the spinal cord6.
Acute management in children with SCIWORA con- sists of maintenance of spinal immobilization, emergent support of airway, breathing and circulation while treating other life-threatening injuries and emergent consultation with a neurosurgeon with pediatric expertise5.
SCIWORA is an important SCI entity and must be investigated in a child having symptoms and signs of myelopathy with normal X-rays, CT and MRI.
Spinal cord injury without radiographic abnormality in children--the SCIWORA syndrome.
Literaturde pediyatrik MSY'de bildirilen SCIWORA insidansi %5-67 arasinda degismekle birlikte ortalama insidans %34,8'dir.
SCIWORA insidansi kucuk cocuklarda (dogum-9 yas) daha yuksektir (5).
SCIWORA genellikle motorlu arac kazasi, yuksekten dusme, spor yaralanmalari ve cocuk istismari gibi ciddi travmalara bagli gelisir (26).