scholarly journals Clinical diagnosis and treatment of spinal cord injury without evidence of abnormality in children: a review

2020 ◽  
Vol 7 (11) ◽  
pp. 3847
Author(s):  
Jamal A. S. Alshorman ◽  
Yulong Wang ◽  
Fengzhao Zhu ◽  
Lian Zeng ◽  
Kaifang Chen ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Steroid Therapy ◽  
Age Groups ◽  
Treatment Method ◽  
Good Prognosis ◽  
Diagnosis And Treatment ◽  
X Rays ◽  
Cord Injury ◽  
Radiological Abnormality

Spinal cord injury without radiological abnormality (SCIWORA) is a challenging circumstance in all age groups. Symptoms in some children of SCIWORA does not develop at the time of trauma. Different treatment methods (steroid therapy, immobilization, surgery) applied to treat SCIWORA, but with different prognosis. SCIWORA diagnosed when X-rays and computed tomography (CT) normal; however, initial magnetic resonance imaging (MRI) sometimes can be expected. Performing diffusion-weighted imaging (DWI) with early conventional MRI is a gold standard in the diagnosis of SCIWORA. Early MRI and DWI provides a quick diagnosis to facilitate recovery, ensure a superior clinical outcome, and choose a proper treatment method. Although it provides an accurate diagnosis, early immobilization with steroid therapy can present a good prognosis but not in all cases. Durotomy with duraplasty had a good outcome in adult patients, which might be helpful in children. This review explores the current and future methods of diagnosis and treatment of SCIWORA in children.

scholarly journals The demographics and traumatic causes of spinal cord injury in Nepal: An observational study

Trauma ◽  
2020 ◽  
pp. 146040862094134
Author(s):  
Arran Willott ◽  
Raju Dhakal ◽  
Christine Groves ◽  
Julie Mytton ◽  
Matthew Ellis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Young Adults ◽  
East Asia ◽  
Road Traffic ◽  
Spinal Injury ◽  
Age Groups ◽  
South East Asia ◽  
Rehabilitation Centre ◽  
Cord Injury

Introduction There has been little systematic study of the epidemiology of traumatic spinal cord injury (TSCI) in Nepal, South-East Asia, and low- and middle-income countries (LMICs) in general. One third of the global morbidity and mortality due to injuries is concentrated in South-East Asia. We need to better understand the circumstances leading to TSCI if we are to make progress with prevention. Method The Spinal Injury Rehabilitation Centre (SIRC) in Nepal systemically collected prospective data describing people with TSCI admitted between September 2015 and August 2016. Descriptive analyses of variables yielded demographic, aetiological and clinical descriptors of this cohort. Cross-tabulations were used to explore the associations between variables. Results Of 184 admissions over one year, males were admitted to SIRC almost 2.3 times more often than females. Young adults (21–30 years) were the largest age group (34%). The majority of TSCI resulted in paraplegia (67%) and was complete in nearly half (49%). Falls caused the majority of TSCI (69%), and falls from trees were the most common. Road traffic injuries (RTIs) were the second leading cause (29%); the majority involved two- or three-wheeled motorised vehicles and patients were most commonly driving. Conclusion Falls were the leading cause of TSCI across both genders and all age groups, followed by RTIs, which occurred most often in young adults and men. Injury surveillance and further research would provide a greater understanding of the pattern of TSCI and enable progress in TSCI prevention and rehabilitation.

Delayed Diagnosis of Neurological Bladder following Spinal Cord Injury without Radiological Abnormality

2013 ◽  
Vol 49 (3) ◽  
pp. 183-185
Author(s):  
O. Abbo ◽  
S. Mouttalib ◽  
M. L'Kaissi ◽  
F. Sauvat ◽  
F. Accadbled ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Delayed Diagnosis ◽  
Cord Injury ◽  
Radiological Abnormality ◽  
Neurological Bladder

Fractures of the spine in children

2011 ◽  
Author(s):  
James Wilson-MacDonald ◽  
Colin Nnadi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Injuries ◽  
Healthy Children ◽  
X Rays ◽  
Radiographic Abnormality ◽  
Cord Injury ◽  
High Incidence ◽  
Fractures Of The Spine ◽  
Epiphyseal Plates

♦ Spinal injuries in children are rare♦ Pseudosubluxation above C4 is common in healthy children so the sign needs careful interpretation♦ Epiphyseal plates and a high incidence of skeletal variability make the interpretation of spinal x-rays in children difficult. Anterior wedging is also normal as is interpedicular widening♦ Spinal cord injury without radiographic abnormality (SCIWORA) may occur for up to one-third of spinal injuries in children♦ Deformity secondary to trauma tends to deteriorate with growth.

scholarly journals Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury

2020 ◽  
Vol 27 (4) ◽  
pp. 276-288 ◽  
Author(s):  
Noritoshi Sekido ◽  
Yasuhiko Igawa ◽  
Hidehiro Kakizaki ◽  
Takeya Kitta ◽  
Atsushi Sengoku ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Tract ◽  
Clinical Guidelines ◽  
Lower Urinary Tract ◽  
Diagnosis And Treatment ◽  
Lower Urinary Tract Dysfunction ◽  
Cord Injury ◽  
Lower Urinary

Consequences of High-Dose Steroid Therapy for Acute Spinal Cord Injury

1997 ◽  
Vol 42 (2) ◽  
pp. 279-284 ◽  
Author(s):  
S. J. Gerndt ◽  
J. L. Rodriguez ◽  
J. W. Pawlik ◽  
P. A. Taheri ◽  
W. L. Wahl ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Steroid Therapy ◽  
Acute Spinal Cord Injury ◽  
High Dose ◽  
High Dose Steroid ◽  
Cord Injury

Early magnetic resonance imaging in spinal cord injury without radiological abnormality in adults

2013 ◽  
Vol 74 (3) ◽  
pp. 845-848 ◽  
Author(s):  
Christoph Kolja Boese ◽  
Michael Nerlich ◽  
Silvan Maximilian Klein ◽  
André Wirries ◽  
Steffen Ruchholtz ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Cord Injury ◽  
Radiological Abnormality

scholarly journals A Modeled Analysis of Telehealth Methods for Treating Pressure Ulcers after Spinal Cord Injury

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Mark W. Smith ◽  
Michelle L. Hill ◽  
Karen L. Hopkins ◽  
B. Jenny Kiratli ◽  
Ruth C. Cronkite
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pressure Ulcers ◽  
Low Cost ◽  
Stage Iv ◽  
Treatment Method ◽  
Veterans Health ◽  
Entire Treatment Period ◽  
Clinical Scenarios ◽  
Cord Injury

Home telehealth can improve clinical outcomes for conditions that are common among patients with spinal cord injury (SCI). However, little is known about the costs and potential savings associated with its use. We developed clinical scenarios that describe common situations in treatment or prevention of pressure ulcers. We calculated the cost implications of using telehealth for each scenario and under a range of reasonable assumptions. Data were gathered primarily from US Department of Veterans Affairs (VA) administrative records. For each scenario and treatment method, we multiplied probabilities, frequencies, and costs to determine the expected cost over the entire treatment period. We generated low-, medium-, and high-cost estimates based on reasonable ranges of costs and probabilities. Telehealth care was less expensive than standard care when low-cost technology was used but often more expensive when high-cost, interactive devices were installed in the patient’s home. Increased utilization of telehealth technology (particularly among rural veterans with SCI) could reduce the incidence of stage III and stage IV ulcers, thereby improving veterans' health and quality of care without increasing costs. Future prospective studies of our present scenarios using patients with various healthcare challenges are recommended.

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