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Abstract

Orthopedic Research Online Journal

Pediatric SCIWORA-Type Injuries Revisited: What Should be the Most Discerning Definition of SCIWORA at the Current Days?

  • Open or CloseRaquel Madroñero-Mariscal1 and Elisa López-Dolado2,3*

    1Department of Physiatrist & Rehabilitation, Fundación del Lesionado Medular & Hospital Universitario Infanta Leonor, Spain

    2Clínical Chief, Department of Physiatrist & Rehabilitation and Laboratory of Interfaces for Neural Repair (LINER), Hospital Nacional de Parapléjicos, Spain

    3Associate Professor, Department of Medicine and Medical Specialities, School of Medicine, Universidad de Alcalá (UAH) Spain

    *Corresponding author:Elisa López-Dolado, Rehabilitation Department and Laboratory of Interfaces for Neural Repair (LINER), Hospital Nacional de Parapléjicos, Toledo, Spain

Submission: September 14, 2021Published: September 21, 2021

DOI: 10.31031/OPROJ.2021.08.000697

ISSN : 2576-8875
Volume8 Issue5

Summary

The traditional concept of “SCIWORA” is nowadays being reassessed due to the accumulation of clinical knowledge and the improvement in diagnostic accuracy to study this entity. In the current era of magnetic resonance imaging as the gold standard in spinal pathology, particularly the diffusion tensor imaging scanning, the present article aims to respond the challenge of critically reviewing and redefining this entity as accurately as possible. Another important fact will be to discuss the best treatment option for these patients, because while conventional approaches agreed with a conservative management, some modern streams of thought defend an early surgical procedure to avoid a worst prognosis in selected cases.

Keywords: SCIWORA; Paediatric spinal cord trauma; Children; Magnetic resonance imaging; Diffusion tensor imaging; Spinal cord concussion; Spinal cord infarctions

Abbreviations: ALL: Anterior Longitudinal Ligament; CNS: Central Nervous System; CT: Computed Tomography; DHb: Deoxygenated Hemoglogin; DTI: Diffusion Tensor Imaging; MRI: Magnetic Resonance Imaging; MHb: Methemoglobin; PLL: Posterior Longitudinal Ligament; PTS: Post-Traumatic Syringomyelia; SCI: Spinal Cord Injury; SCInf: Spinal Cord Infarctions

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