Isolated spinal cord injury in children – SCIWORA syndrome
https://doi.org/10.25789/YMJ.2022.78.27
Abstract
The analysis of scientific articles on isolated spinal cord injuries in children was conducted in the literature review (SCIWORA syndrome). This syndrome is mainly noted in children under 8 years, most of the victims being boys. The cervical spinal cord is affected more frequently. The problem of SCIWORA syndrome remains relevant. It is necessary to develop common approaches and standards in the tactics of treatment of children with this severe pathology.
About the Author
E. G. Scryabin
Tyumen State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Scryabin Evgeny Gennadievich - Doctor of Medical Sciences, Professor of the Department of Traumatology and Orthopedics
References
1. Novoselova I.N., Melnikova I.A., Ponina I.V. [et al.]. Diagnostic errors insulated damage to the spinal cord in children. Herald of recovery medicine. 2021; 20 (2): 109-117. doi: 10.38025/2078-1962-2021-20-2-109-117
2. Dulaev A.K., Kutyanov D.I., Iskrovskiy S.V. [et al.]. Recommendation base for the provision of specialized medical care to patients with spinal spinal injury in Russia: an object of the subject field. Spinal surgery. 2021; 18(4): 41-54. doi: 10.14531/ss2021.4.41-54
3. Sitko L.A., Vorobyev A.M. Clinical and MRI Features of stable damage to the spine and spinal cord in children. Medicine in Kuzbass. 2015; 14 (1): 57-63.
4. Larkin I.I., Lar'kin V.I., Preobrazhenskiy A.S. Traumatic damage to the spinal cord in children. Polytrauma. 4: 46-50.
5. A case of real spinal cord injury without radiologic abnormality in a pediatric patient with spinal cord concussion. / H. Nagasawa, K. Ishikawa, R. Takahashi [et al.] // Spinal Cord Ser Сases. – 2017, №3. – P. 17051. doi: 10.1038/scsandc.2017.51
6. Adult Spinal Cord Injury without Radiographic Abnormalities (SCIWORA): Clinical and Radiological Correlations. / S. Sharma, M. Singh, I.H. Wani [et al.] // J Clin Med Res. – 2009. – Vol.3, №1. –P. 165-172. doi: 10.4021/jocmr2009.08.1256
7. Basu S. Spinal injuries in children. // Front Neurol. - 2012. - №3. - P. 96. doi: 10.3389/fnneur.20212.00096
8. Can magnetic resonance imaging reflect the prognosis in patients of cervical spinal cord injury without radiographic abnormality? / M. Machino, Y. Yukawa, K. Ito [et al.] // Spine. – 2011. – Vol.36, №24. – P. 1568-1572. doi: 10.1097/BRS.0b013e31821273c0
9. Cervical Spinal Cord Injury without Computed Tomography Evidence of Trauma: Magnetic Resonance Imaging Prognostic Factors. / R. Martinez-Perez, P.M. Munarriz, I. Paredes [et al.] // World Neurosurg. – 2017. - №9. – P. 192-199. doi: 10.1016/j.wneu.2016.12.05
10. Cervical spinal cord injuries without radiographic evidence of trauma: A prospective study. / S.P. Mohanty, N.S. Bhat, K.A. Singh [et al.] // Spinal Cord. – 2013. - Vol.51, №11. - P. 815-818. doi: 10.1038/sc.2013.87
11. Delayed Magnetic Resonanse Imaging in Patients With Cervical Spinal Cord Injury Without Radiographic Abnormality / O. Ouchida, Y. Yukawa, K. Ito [et al.] // Spine. -2016. – Vol.41, №16. – P. 981-986. doi: 10.1097/BRS.0000000000001505
12. Early MRI finding in adult spinal cord injury without radiologic abnormalities does not correlate with the neurological outcome: a retrospective study / Q. Liu, Q. Liu, J. Zhao [et al.] // Spinal Cord. – 2015. – Vol.53, №10. – P. 750–753. doi: 10.1038/sc.2015.45
13. Epidemiology of spinal fractures in children: Cross-sectional study / R. Compangnon, E. Ferrero, J. Leroux [et al.] // Orthop Traumatol Surg Res. – 2020. – Vol.106, №7. - P. 1245-1249. doi: 10.1016/j.otsr.2020.06.015
14. Idiopathic Cervical Hematomyelia in a Infant: Spinal Cord Injury without Radiographic Abnormality Caused by a Trivial Trauma? Case Report and Review of the Literature / P. Fiachi, M. Severino, G.M. Ravegnani [et al.] // World Neurosurg. – 2016. - №90. – P. 38-40. doi: 10.1016/j.wneu.2016.01.094
15. Knox J. Epidemiology of spinal cord injury without radiographic abnormality in children: a nationwide perspective. / J. Knox // J Child Orthop. – 2016. – Vol.10, №3. – P. 255-260. doi: 10.1007/s11832-016-0740-x
16. Lloyd S. Fracture dislocation of the spine. / S. Lloyd // Med Rec. – 1971. - №71. - P. 465-470.
17. Management and Mid-Term Outcome After «Real SCIWORA» in Children and Adolescents / V. Freygang, K. Butz, C.T. Seebauer [et al.] // Global Spine J. – 2021. - 2192568220979131. doi: 10.1177/2192568220979131
18. Multicenter study of 37 pediatric patients with SCIWORA or other spinal cord injury without associated bone lesion / D. Brauge, B. Plas, M. Vinchon [et al.] // Orthop Traumatol Surg Res. – 2020. – Vol.106, №1. – P. 167-171. doi: 10.1016/j.otsr.2019.10.006
19. Ozlan Izma M.K. Spinal Cord Injury Without Radiological Abnormality (SCIWORA) / M.K. Olzan Izma, I. Zulkhanain, B. Ramli // Med J Malaysia. – 2003. – Vol.58, №1. – P. 105-110
20. Pang D. Spinal Cord Injury Without Radiographic Abnormality (SCIWORA) in Children / D. Pang, S. Eibach // In book: Textbook of Pediatric Neurosurgery. 2017. – P. 1-39. doi: 10.1007978-3-319-31512-6-134-1
21. Pang D. Spinal cord injury without radiographic abnormalities in children / D. Pang, J.E. Wilberger // Neurosurg. - 1982. - Vol.57, №1. – P. 114-129. doi: 10.3171/jns.1982.57.1.0114
22. Pediatric Spinal Cord Injury without Radiographic Abnormality: the Beijing Experience / Z. Zou, A. Teng, L. Huang [et al.] // Spine. - 2021. - Vol.46, №20. – P. 1083-1088. doi: 10.1097/BRS.0000000000004030
23. Pediatric thoracic SCIWORA after during dance practice: a retrospective case series and analysis of trauma mechanisms / J. Ren, G. Zeng, Y.J. Ma [et al.] // Childs Nerv Syst. – 2017. – Vol.33, №7. – P. 1191-1198. doi: 10.1007/s00381-017-3407-0
24. Pediatric spinal trauma presenting to a UK major trauma centre / J. Booker, S. Hall, A. Dando [et al.] // Child Nerv Syst. – 2021. – Vol.37, №6. – P. 1949-1956. doi: 10.1007/s00381-021-05044-8
25. Physical therapy treatment of a pediatric patient with symptoms consistent with a spinal cord injury without radiographic abnormality: A retrospective case report / R. Butts, O. Legaspi, A. Nocera-Mekel [et al.] // J Bodyw Mov Ther. – 2021. - №27. - P. 455-463. doi: 10.1016/j.jbmt.2021.01.008
26. Posttraumatic Spinal Cord Injury without Radiographic Abnormality / K. Atesok, N. Tanaka, A. O'Brien [et al.] // Adv Orthop. – 2018. – P. 7060654. doi: 10.1155/2018/7060654
27. Real spinal cord injury without radiologic abnormality in pediatric patient with tight filum terminale following minor trauma: a case report / Q.C. Liang, B. Yang, B. Song [et al.] // BMC Pediatr. – 2019. – Vol.19, №1. – P. 513. doi: 10.1186/s12887-019-1894-8
28. Real spinal cord injury without abnormality in pediatric patient with tight filum terminale following minor trauma: a case report / B. Yang, Y.H. Song, P.P. Gao [et al.] // BMC Pediatr. – 2019. - Vol.19, №1. – P. 513. doi: 10.1186/s12887-019-1894-8
29. Spinal cord injury radiologic abnormality in children: a systematic review and meta-analysis / C.K. Boese, J. Oppermann, J. Eysel [et al.] // J Trauma Acute Care Surg. – 2015. – Vol.78, №4. – P. 874-882. doi: 10.1097/TA.0000000000000579
30. Spinal Cord Injury Without Radiographic Abnormality (SCIWORA) / C.J. Rozzelle, B. Aarabi, S.S. Dhall [et al.] // Neurosurg. – 2013. - Vol.72, №3. – P. 227–233. doi: 10.1227/NEU.0b013e318277
31. Spinal cord injures without radiologic abnormality in children: a systematic review / T. Carroll, C.D. Smith, X. Liu [et al.] // Spinal Cord. – 2015. - №53. – P. 842-848. doi: 10.1038/sc.2015.110
32. Spinal cord injury without radiographic abnormality (SCIWORA): A mere 50-cm fall that matters / K.E. Hon, S.J. Chan, B.K. Ng [et al.] // Injury Extra. – 2006. Vol.37, №10. – P. 364–370. doi:10.1016/j.injury.2006.03.021
33. Spinal cord injury without radiographic abnormality (SCIWORA) in adults: MRI type predicts early neurologic outcome / C.K. Boese, D. Muller, R. Broer [et al.] // Spinal Cord. – 2016. – Vol.54, №10. – P. 878-883. doi: 10.1038/sc.2016.13
34. Sports-related Cervical Spine Fracture and Spinal Cord Injury: A Review of Nationwide Pediatric Trends / H. Alas, K.E. Pierce, A. Brown [et al.] // Spine. - 2021. –Vol.46, №1. – P. 22-28. doi: 10.1097/BRS.0000000000003718
35. Surgical management of post-SCIWORA spinal deformities in children / N. Yalcin, O. Dede, A. Alanay [et al.] // J Child Orthop. – 2011. – Vol.5, №1. – P. 27–33. doi 10.1007/s11832-010-0306-2
36. The influence of timing of surgery in the outcome of spinal cord injury wirhout radiographic abnormality (SCIWORA) / C. Qi, H. Xia, D. Miao [et al.] // J Orthop Surg Res. – 2020. – Vol.15, №1. – P. 223. doi: 10.1186/s13018-020-01743-1
37. Thoracic spinal cord injury without radiologic abnormality in a pediatric patient case report / J. Iaconis Campbell, F. Coppola, E. Volpe [et al.] // J Surg Case Rep. – 2018. – Vol.2018, №1. –P. 250. doi: 10.1093/jscr/rjy250
38. Traumatic atlanto-axial rotator subluxation and dens fracture with subaxial SCIWORA of Brown-Sequard syndrome: A case report / S.K. Kim, D.G. Chang, J.B. Park [et al.] // Medicine (Baltimore). – 2021. Vol.100, №16. – P. 25588. doi: 10.1097/MD.0000000000025588
39. Traumatic infarction of the spinal cord in children / J.U. Chou, H.J. Hoffman, E.B. Hendrick [et al.] // J. Neurosurg. – 1986. - №65. – P. 608-610. doi: 10.3171/jns.1986.65.5.0608
40. Traumatic spinal injuries in children at a single level 1 pediatric trauma centre: report of a 23-year experience / C. Kim, M. Vassilyadis, J.K. Forbes [et al.] // Can J Surg. – 2016. – Vol.59, №3. - P. 205-212. doi: 10.1503/cjs.014515
41. Will the Real SCIWORA Please Stand Up? Exploring Clinicoradiologic Mismatch in Closed Spinal Cord Injuries / D. Dreizen, W. Kim, J.S. Kim [et al.] // AJR Am J Roentgenol. – 2015. – Vol.205, №4. – P. 853-860. doi: 10.2214/AJR.14.13374
42. K. Yucesoy, K.Z. Yuksel SCIWORA in MRI era // Clinical Neurol and Neurosurg. – 2008. – №110. – P. 429-433. doi: 10.1016/j.clineuro. 2008.02.004
Review
For citations:
Scryabin E.G. Isolated spinal cord injury in children – SCIWORA syndrome. Yakut Medical Journal. 2022;(2):106-109. https://doi.org/10.25789/YMJ.2022.78.27
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