Run Time: 3 minutes
Author: Dr. Suzanne Chilton
- SCIWORA is an acronym for Spinal Cord Injury Without Radiographic Abnormality.
- This name was appropriate prior to the invention of the MRI, as now MRIs can usually find some abnormality missed on an Xray or CT.
- This type of injury occurs most often in children because they have a head that is too large for their body acting as a fulcrum to pull their neck. This is exacerbated in children with Down’s syndrome.
- For children under eight-years-old with a non-focal neurological exam, the chance that they have a cervical spine injury is arguably zero. Children will almost always present with some neurological deficit.
- The presentation of neurological deficits can be transient and resolve in children with SCIWORA despite having a serious spinal cord injury. Order an MRI if there are any neurological deficits!
Link to Podcast: http://medicalminute.madewithopinion.com/sciwora/