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Diagnosis, management and outcome of Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) in adult patients with trauma : a cas series
المؤلفون المشاركون
Mollazehi, Munirah
Ahmad, Khalid
Hakim, Suhayl Yaqub
al-Tawil, Lubna Jamal
Ramzi, Ahmad Fuhayd
Muhammad Isam
Awwad, Mutasim
al-Faramawi, Ahmad
المصدر
العدد
المجلد 2021، العدد 3 (31 ديسمبر/كانون الأول 2021)، ص ص. 1-7، 7ص.
الناشر
تاريخ النشر
2021-12-31
دولة النشر
قطر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background: Spinal cord injury without radiographic abnormality (SCIWORA) in adults causes diagnostic and prognostic dilemma as radiography and/or computed tomography does not clearly detect bone lesions during the initial assessment.
Herein, we report our experience on 11 spinal cord injury cases without radiographic abnormality, regarding the clinicoradiological features, management, and outcomes.
Methods: We conducted a case series of adult patients with SCIWORA who were admitted at the level 1 trauma center at Hamad General Hospital from January 2008 to July 2018.
All patients underwent initial head and spine X-ray imaging, computed tomography, magnetic resonance imaging, and 12 months of clinical follow-up.
Results: Eleven patients (mean age, 46.5 ± 14.4 years) met the criteria of SCIWORA.
The neurologic status on admission and 12 months after hospital discharge were classified according to the American Spinal Injury Association (ASIA) impairment scale (AIS).
On admission, 6 (54.5%) patients had ASIA grade C: 2 (18.2%) each had AIS grade D and B and 1 (9.1%) had AIS grade A.
Five cases were treated conservatively with rehabilitation and physiotherapy, and five were treated surgically by anterior cervical discectomy with fusion.
One patient who declined surgery was managed with a sternal occipital mandibular immobilizer brace and underwent rehabilitation.
Conclusion: SCIWORA requires higher clinical suspicion and thorough neurological and radiologic assessment to prevent secondary spinal cord injuries and complications.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hakim, Suhayl Yaqub& al-Tawil, Lubna Jamal& Ramzi, Ahmad Fuhayd& Muhammad Isam& Ahmad, Khalid& Awwad, Mutasim…[et al.]. 2021. Diagnosis, management and outcome of Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) in adult patients with trauma : a cas series. Qatar Medical Journal،Vol. 2021, no. 3, pp.1-7.
https://search.emarefa.net/detail/BIM-1432019
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hakim, Suhayl Yaqub…[et al.]. Diagnosis, management and outcome of Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) in adult patients with trauma : a cas series. Qatar Medical Journal No. 3 (2021), pp.1-7.
https://search.emarefa.net/detail/BIM-1432019
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hakim, Suhayl Yaqub& al-Tawil, Lubna Jamal& Ramzi, Ahmad Fuhayd& Muhammad Isam& Ahmad, Khalid& Awwad, Mutasim…[et al.]. Diagnosis, management and outcome of Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) in adult patients with trauma : a cas series. Qatar Medical Journal. 2021. Vol. 2021, no. 3, pp.1-7.
https://search.emarefa.net/detail/BIM-1432019
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
رقم السجل
BIM-1432019
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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