Neurological outcome, working capacity and prognostic factors of patients with SCIWORA

Neva, Marko H.; Roeder, C.; Felder, U; B, Kiener; Meier, Whitney; Perler, Malgorzata; Heini, Paul F.

doi:10.1038/sc.2011.100

Cited by 10 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although a correlation between neurological outcome and MRI pattern has been described previously, 4,5,[11][12][13][14][15][16][17][18] this finding could not be confirmed by others. 2 The present study reports the existence of a relation between imaging type and neurological outcome in adult patients with SCIWORA.…”

Section: Discussionmentioning

confidence: 66%

Spinal cord injury without radiographic abnormality (SCIWORA) in adults: MRI type predicts early neurologic outcome

et al. 2016

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 66%

Spinal cord injury without radiographic abnormality (SCIWORA) in adults: MRI type predicts early neurologic outcome

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The rate of recovery was significantly better in the younger age group (21–30 years) as compared to the elderly similar to literature. [ 19 ] Patients with canal stenosis and/or ligament calcification showed significantly less recovery ( P = 0.04) when compared with patients of osteophytes and/or osteoporosis again signifying a worse outcome in canal stenosis cases when compared with osteophytes and/or osteoporosis in SCIWOCTET. Patients with isolated cord edema and/or non-hemorrhagic contusions showed better recovery than patients of cord hemorrhage and contusion due to the fact that cord edema heals with minimal myelomalacia while cord contusions and hemorrhage form cysts in a recovery phase and thus recover late.…”

Section: Discussionmentioning

confidence: 99%

Computed tomography predictors of adult spinal cord injury without radiographic abnormality

Singla

Nellikoppad

Latawa

et al. 2022

JNRP

View full text Add to dashboard Cite

Objective: Elasticity of the skeletal system in children and degenerative changes in adults are responsible for SCIWORA. The purpose of this study was to determine those degenerative changes on CT scan that predispose adults to SCIWORA, their correlation with MRI findings, clinical presentation and recovery. Materials and Methods: This prospective study was conducted over a period of 1.5 years and 30 patients were enrolled. Apart from the demographic profile, mode of injury, clinical symptoms, ASIA at admission, X-ray, CT and MRI findings were noted. All patients were managed conservatively and were followed up after 3 months. NCCT and MRI findings were correlated with each other, with clinical presentation and with recovery. Recovery was defined as any improvement in ASIA class. Statistical Analysis: Data was collected and organized. For normally distributed data parametric test and for others non-parametric test was used. Kendall tau rank correlation coefficient was used to measure the ordinal association between two measured quantities. Results: 28 (93.3%) patients were males and 2 (6.7%) were females. Patients with osteoporosis and/or osteophytes (n = 16) had a higher incidence of development of cord edema or non-haemorrhagic contusion (n = 15) (P = 0.028) while patients with canal stenosis and/or ligamentous calcification (n = 14) had a higher incidence of development of haemorrhagic contusion (n = 12) (P = 0.04). Patients with canal stenosis and/or ligament calcification showed significantly less recovery (n = 3) when compared with patients of osteophytes and/or osteoporosis (n = 6) (P = 0.04). Disc abnormality was seen in 1 patient only. 9 patients showed recovery and maximum recovery was seen in ASIA D (n = 4) class while no patient recovered in ASIA A class. Conclusion: Osteoporosis, osteophytes, canal stenosis and ligament calcification are the factors that predispose adults to SCIWORA. The final outcome seems to be poorer in cases of canal stenosis when compared with osteophytes and osteoporosis. NCCT findings can be used as an adjunct to MRI to predict clinical presentation, severity and recovery in adult SCIWORA.

show abstract

“…SCIWORA was first described in 1982 in the pediatric population, with hyperextension of the vertebral column among the described neural injury mechanisms [22]. Since its initial description, SCIWORA has now been described in the adult population as well [23]. The advancement of MRI has played a unique role in the evolution of SCIWORA given visualization of soft tissue pathologies, some of which are predisposing factors for spinal cord injury [22].…”

Section: Discussionmentioning

confidence: 99%

Surfer’s myelopathy: an atypical case presentation

Gilbert

Kirshblum

Miller

et al. 2020

Spinal Cord Ser Cases

View full text Add to dashboard Cite

Introduction Surfer's myelopathy (SM) is a rare nontraumatic spinal cord injury seen in beginner surfers and people participating in activities involving prolonged lumbar hyperextension. The majority of cases of SM have been reported in younger patients under 40 years of age, with initial magnetic resonance imaging (MRI) showing T2 signal abnormalities. We present a case of SM in a person over 40 years old whose initial MRI did not show the T2 signal abnormalities usually reported in SM. Case presentation A 43-year-old male in good physical condition went surfing for the first time and developed generalized back pain that progressed to include bilateral lower extremity pain with numbness and weakness. MRI within 11-12 h of symptom onset revealed no acute T2 signal abnormalities. At the time of initial presentation he had classification consistent with a T12 American Spinal Injury Association Impairment Scale (AIS) A and at rehabilitation discharge, 6 weeks later, he had classification of T12 AIS B. Discussion Not all cases of SM present similarly. As surfing is a popular sport, education on early identification of warning signs is crucial for instructors and trainees, as well as health care providers. Our case highlights the importance of a comprehensive history and physical examination in developing the diagnosis, especially in presentations that are not classic in nature.

show abstract

Neurological outcome, working capacity and prognostic factors of patients with SCIWORA

Cited by 10 publications

References 15 publications

Spinal cord injury without radiographic abnormality (SCIWORA) in adults: MRI type predicts early neurologic outcome

Spinal cord injury without radiographic abnormality (SCIWORA) in adults: MRI type predicts early neurologic outcome

Computed tomography predictors of adult spinal cord injury without radiographic abnormality

Surfer’s myelopathy: an atypical case presentation

Contact Info

Product

Resources

About