Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 1, Number 3, August 2009, pages 165-172

Adult Spinal Cord Injury without Radiographic Abnormalities (SCIWORA): Clinical and Radiological Correlations

Figures

Figure 1.
Figure 1. Algorithm for diagnosis of adult SCIWORA.
Figure 2.
Figure 2. Pie diagram showing etiology of adult SCIWORA.
Figure 3.
Figure 3. Pie diagram showing neurological deficit at presentation graded by ASIA Injury Score (AIS).
Figure 4.
Figure 4. Pie diagram showing the distribution of parenchymal spinal cord injury.
Figure 5.
Figure 5. T2W saggital MR image of a 32 year old male showing long segment cord edema from C2-7 levels.
Figure 6.
Figure 6. T2W saggital MR image of a 51 year old male showing cord edema opposite C1-2 levels. This patient recovered completely.
Figure 7.
Figure 7. (a) T2W saggital MR image of a 22 year old male showing cord contusion at C6-7 level and disc bulging at C3-4 and C6-7 levels. (b) T2W saggital MR image of the same patient done after one year. Note the focal myelomalacia at C6-7 level.
Figure 8.
Figure 8. (a) T2W saggital MR image of a 29 year old male showing cord contusion opposite C6-7 level and multiple disc bulges. (b) T2W saggital MR image of the same patient done after one year. The contusion has decreased in size and there is no myelomalacia.

Table

Table 1. Patients data
 
Sno.Age/SexMode of TraumaNeurological Status at Admission (AIS Grade)Radiographs & CT ScanNeural Injury (On MRI)Extra Neural Injury (On MRI)TreatmentNeurological Status at 12 months (AIS Grade)
MVA: Motor vehicle accident; WRA: Work related accident; CSLP: Cervical Spine Locking Plate.
1.22 MMVAAIS ‘A’NormalCord contusion opposite C6,7
Pattern III		Disc bulges at C 3-4 & C6-7, L. Flavum bulging C6-7.ConservativeAIS ‘C’
2.32 MRoof CollapseAIS ‘C’NormalCord contusion with long segment cord edema C2-7
Pattern III		L. Flavum bulge C4-5.ConservativeAIS ‘D’
3.55 MMVAAIS ‘B’SpondylosisCord Hemorrhage. C5-6
Pattern I		Disc Prolapse C5-6 & C6-7.
L.Flavum bulging from C 5-7.		Discectomy C5-6, C6-7 and Fusion. (Tricortical Iliac Graft & 2 level CSLP)AIS ‘C’
4.51 MMVAAIS ‘C’
Central Cord Syndrome		SpondylosisCord edema C1-2.
Pattern II		Multiple level disc bulges, L. Flavum bulge C4-5.ConservativeAIS ‘D’
5.58 MFall from heightAIS ‘C’SpondylosisCord edema C4-6
Pattern II		-ConservativeAIS ‘E’
6.33 FFall from HeightAIS ‘C’NormalCord edema C5-6
Pattern II		-ConservativeAIS ‘E’
7.29 MWRAAIS ‘B’SpondylosisCord Contusion C6-7
Pattern III		Multiple Level Disc BulgesConservativeAIS’D’
8.40 MFall from heightAIS ‘C’
Central Cord Syndrome		NormalCord Contusion C4-6
Pattern III		-ConservativeAIS ‘D’
9.52 FMVAAIS ‘C’SpondylosisCord edema C5-6
Pattern II		Disc Prolapse C5-6.Discectomy C5-6 & Fusion (Tricortical iliac graft &1 level CSLP)AIS ‘D’
10.38 MMVAAIS ‘A’NormalCord Hemorrhage C4-6
Pattern I		-ConservativeAIS ‘B’
11.26 MWRAAIS ‘B’NormalCord Contusion C4-5
Pattern III		-ConservativeAIS ‘D’
12.28 MFall from HeightAIS ‘C’NormalCord edema C4-6
Pattern II		-ConservativeAIS ‘E’