PEDIATRIC SPINAL-CORD INJURY WITHOUT RADIOGRAPHIC ABNORMALITIES - REPORT OF 26 CASES AND REVIEW OF THE LITERATURE

被引：74

作者：

DICKMAN, CA ^{[1
]}

ZABRAMSKI, JM ^{[1
]}

HADLEY, MN ^{[1
]}

REKATE, HL ^{[1
]}

SONNTAG, VKH ^{[1
]}

机构：

[1] BARROW NEUROL INST,350 W THOMAS RD,PHOENIX,AZ 85013

来源：

JOURNAL OF SPINAL DISORDERS | 1991年 / 4卷 / 03期

关键词：

PEDIATRIC SPINAL CORD INJURY; SPINAL CORD INJURY WITHOUT RADIOGRAPHIC ABNORMALITY; SPINAL INJURIES; TRAUMA;

D O I：

10.1097/00002517-199109000-00006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Spinal cord injury without radiographic abnormality (SCIWORA) occurs primarily in the pediatric population but is less common than other forms of spinal injury among children. Between 1972 and 1990, 159 pediatric patients were admitted to the Barrow Neurological Institute with acute traumatic spinal cord or vertebral column injuries. Of these, 26 children (16%) sustained SCIWORA. The mechanism of injury, its severity, and the prognosis for recovery were related to the patient's age. In young children, SCIWORA accounted for 32% of all spinal injuries and tended to be severe; 70% were complete injuries. In older children, SCIWORA accounted for only 12% of the spinal injuries, was rarely associated with a complete injury, and had an excellent prognosis for complete recovery of neurologic function. As with other types of spinal cord injuries, the severity of neurological injury was the most important predictor of outcome. Patients with complete neurological deficits from SCIWORA had a poor prognosis for recovery of neurological function.

引用

页码：296 / 305

页数：10

共 60 条

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