AN EPIDEMIOLOGICAL STUDY ON SPINAL CORD INJURY WITHOUT RADIOLOGICAL ABNORMALITY

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SHERAFAT KAZEMZADEH E.; TAGHIPOUR M.

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Journal: JOURNAL OF MEDICAL RESEARCH (JMR) Year:2005 | Volume:3 | Issue:4 Page(s): 51-58

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Title

AN EPIDEMIOLOGICAL STUDY ON SPINAL CORD INJURY WITHOUT RADIOLOGICAL ABNORMALITY

Author(s)

SHERAFAT KAZEMZADEH E. | TAGHIPOUR M. | Issue Writer Certificate

Keywords

EPIDEMIOLOGYQ4

SPINEQ4

SPINAL CORD INJURY WITHOUT RADIOGRAPHIC ABNORMALITY (SCIWORA)Q4

TRAUMAQ4

Abstract

Background: "SCIWORA" is a syndrome occurring when the spinal cord sustains neural damage during a TRAUMAtic event without positive radiographic findings. Anatomic and biomechanical characteristics of the pediatric SPINE place children at risk for this syndrome. The purpose of this study was to define the incidence and characteristics of patients with SCIWORA. Patients and Methods: This prospective epidemiologic study was performed in a 24-month period on 233 TRAUMAtic SPINE-injured patients admitted to Nemazee Hospital, a major referral center for these patients in Fars province. Eleven patients (10 males and 1 female) with an age range of 1 month to 18 years had SCIWORA syndrome based on positive neurological and MRI findings while a technically adequate plain radiographic series revealed no injury. The Frankel grading system was used to evaluate neurological deficits in the patients. Results: The total incidence of SCIWORA in our study was 2.36 percent, while it was 83.33 percent and 22.22 percent in 0-9 and 10-19 year-old age groups, respectively. Male to female ratio was 10/1. The most common cause of SCIWORA was collision accidents (54.54 percent) followed by falls (18.18 percent). The most common site of spinal cord damage was the lumbar area (45.45 percent) followed by the cervical region (36.36 percent). According to the Frankel grading system, 72.72 percent of the patients were in grade A, and had spinal cord hemorrhage and edema with signs of soft tissue injury on MRI. All of the patients with lumbar SCIWORA were in this grade. Patients in Frankel grades B and C had spinal cord edema and hemorrhage without evidence of surrounding soft tissue damage on MRI. Conclusion: In our study, the percentage of collision accidents was much more than other reports which stress the significance of better control of roads with stricter traffic laws. Also, the number of patients in grade A was more than in other studies which could be due to inappropriate pre-hospital management and patient transfer methods. Early detection and pre-hospital fixation of cases with SCIWORA can decrease delayed neurological problems and improve the final outcome.

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APA: Copy

SHERAFAT KAZEMZADEH, E., & TAGHIPOUR, M.. (2005). AN EPIDEMIOLOGICAL STUDY ON SPINAL CORD INJURY WITHOUT RADIOLOGICAL ABNORMALITY. JOURNAL OF MEDICAL RESEARCH (JMR), 3(4), 51-58. SID. https://sid.ir/paper/105831/en

Vancouver: Copy

SHERAFAT KAZEMZADEH E., TAGHIPOUR M.. AN EPIDEMIOLOGICAL STUDY ON SPINAL CORD INJURY WITHOUT RADIOLOGICAL ABNORMALITY. JOURNAL OF MEDICAL RESEARCH (JMR)[Internet]. 2005;3(4):51-58. Available from: https://sid.ir/paper/105831/en

IEEE: Copy

E. SHERAFAT KAZEMZADEH, and M. TAGHIPOUR, “AN EPIDEMIOLOGICAL STUDY ON SPINAL CORD INJURY WITHOUT RADIOLOGICAL ABNORMALITY,” JOURNAL OF MEDICAL RESEARCH (JMR), vol. 3, no. 4, pp. 51–58, 2005, [Online]. Available: https://sid.ir/paper/105831/en

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