Will the Real SCIWORA Please Stand Up? Exploring Clinicoradiologic Mismatch in Closed Spinal Cord Injuries

被引:23
作者
Dreizin, David [1 ]
Kim, Wendy [2 ]
Kim, Jane S. [3 ]
Boscak, Alexis R. [1 ]
Bodanapally, Uttam K. [1 ]
Munera, Felipe [4 ,5 ]
Stein, Deborah M. [6 ]
机构
[1] Univ Maryland, Med Ctr, Dept Diagnost Radiol & Nucl Med, R Adams Cowley Shock Trauma Ctr, Baltimore, MD 21201 USA
[2] Univ Maryland, Med Ctr, Dept Diagnost Radiol & Nucl Med, Baltimore, MD 21201 USA
[3] Univ Maryland, Med Ctr, Dept Diagnost Radiol & Nucl Med, Div Pediat Radiol, Baltimore, MD 21201 USA
[4] Univ Miami, Jackson Mem Hosp, Leonard Miller Sch Med, Dept Diagnost Radiol, Miami, FL 33136 USA
[5] Ryder Trauma Ctr, Miami, FL USA
[6] Univ Maryland, Sch Med, Dept Surg, R Adams Cowley Shock Trauma Ctr, Baltimore, MD 21201 USA
关键词
clinicoradiologic mismatch; CT; MRI; spinal cord injury without CT evidence of trauma (SCIWORCTET); spinal cord injury without radiographic abnormality (SCIWORA); spinal cord injury without radiographic evidence of trauma (SCIWORET); RADIOGRAPHIC ABNORMALITY SCIWORA; RESONANCE-IMAGING CORRELATION; CERVICAL-SPINE; FOOTBALL PLAYERS; RADIOLOGICAL ABNORMALITY; COMPUTED-TOMOGRAPHY; OBTUNDED PATIENTS; BLUNT TRAUMA; MINOR TRAUMA; MR;
D O I
10.2214/AJR.14.13374
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. This article aims to familiarize radiologists with the terms used to describe clinicoradiologic mismatch in blunt spinal cord injuries, and also assesses MRI findings and their prognostic value for both pediatric and adult patients. CONCLUSION. Knowledge of the lexicon of spinal cord injury without radiographic abnormality, the spectrum of MRI findings, and imaging predictors of outcome can help render a precise imaging diagnosis and can provide evidence-based prognostic information.
引用
收藏
页码:853 / 860
页数:8
相关论文
共 70 条
[1]   Predicting the risk and severity of acute spinal cord injury after a minor trauma to the cervical spine [J].
Aebli, Nikolaus ;
Ruegg, Tabea B. ;
Wicki, Anina G. ;
Petrou, Nassos ;
Krebs, Jorg .
SPINE JOURNAL, 2013, 13 (06) :597-604
[2]   The Torg-Pavlov ratio for the prediction of acute spinal cord injury after a minor trauma to the cervical spine [J].
Aebli, Nikolaus ;
Wicki, Anina G. ;
Ruegg, Tabea B. ;
Petrou, Nassos ;
Eisenlohr, Heidrun ;
Krebs, Jorg .
SPINE JOURNAL, 2013, 13 (06) :605-612
[3]  
Andreoli Chiara, 2005, Radiol Med, V110, P636
[4]   Spinal cord injury without radiologic abnormalities in adults: A systematic review [J].
Boese, Christoph Kolja ;
Lechler, Philipp .
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2013, 75 (02) :320-330
[5]   Early magnetic resonance imaging in spinal cord injury without radiological abnormality in adults: A retrospective study [J].
Boese, Christoph Kolja ;
Nerlich, Michael ;
Klein, Silvan Maximilian ;
Wirries, Andre ;
Ruchholtz, Steffen ;
Lechler, Philipp .
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2013, 74 (03) :845-848
[6]   ACUTE SPINAL-CORD INJURY - A STUDY USING PHYSICAL-EXAMINATION AND MAGNETIC-RESONANCE-IMAGING [J].
BONDURANT, FJ ;
COTLER, HB ;
KULKARNI, MV ;
MCARDLE, CB ;
HARRIS, JH .
SPINE, 1990, 15 (03) :161-168
[7]   Pediatric spinal cord injury without radiographic abnormality (SCIWORA) - The absence of occult instability and lack of indication for bracing [J].
Bosch, PP ;
Vogt, MT ;
Ward, WT .
SPINE, 2002, 27 (24) :2788-2800
[8]   The Role of Magnetic Resonance Imaging in the Management of Acute Spinal Cord Injury [J].
Bozzo, Anthony ;
Marcoux, Judith ;
Radhakrishna, Mohan ;
Pelletier, Julie ;
Goulet, Benoit .
JOURNAL OF NEUROTRAUMA, 2011, 28 (08) :1401-1411
[9]  
Burke D C, 1974, Paraplegia, V11, P268
[10]   Correlation of MR Diffusion Tensor Imaging Parameters with ASIA Motor Scores in Hemorrhagic and Nonhemorrhagic Acute Spinal Cord Injury [J].
Cheran, Sendhil ;
Shanmuganathan, Kathirkamanathan ;
Zhuo, Jiachen ;
Mirvis, Stuart E. ;
Aarabi, Bizhan ;
Alexander, Melvin T. ;
Gullapalli, Rao P. .
JOURNAL OF NEUROTRAUMA, 2011, 28 (09) :1881-1892