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Injury to the spinal cord without radiological abnormality (SCIWORA) in adults

P. Kothari, MS(Orth), Specialist Orthopaedic Registrar; B. Freeman, FRCS Orth, Senior Spinal Fellow; and M. Grevitt, FRCS Orth, Consultant Spinal Surgeon

Centre for Spinal Studies and Surgery

R. Kerslake, FRCR, Consultant Radiologist

Department of Diagnostic Radiology, University Hospital, Queen’s Medical Centre, Nottingham NG7 2UH, UK.

Correspondence should be sent to Mr M. Grevitt.

Injury to the spinal cord without radiological abnormality often occurs in the skeletally immature cervical and thoracic spine. We describe four adult patients with this diagnosis involving the cervical spine with resultant quadriparesis. The relevant literature is reviewed. The implications for initial management of the injury, the role of MRI and the need for a high index of suspicion are highlighted.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General