@article{ART001398312},
author={박희전 and 이필은 and 김완기 and 심영준},
title={Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2009},
volume={16},
number={4},
pages={235-242}
TY - JOUR
AU - 박희전
AU - 이필은
AU - 김완기
AU - 심영준
TI - Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging
JO - Journal of Korean Society of Spine Surgery
PY - 2009
VL - 16
IS - 4
PB - Korean Society Of Spine Surgery
SP - 235
EP - 242
SN - 2093-4378
AB - Study Design: This is a retrospective review of 10 consecutive patients with spinal cord injury without radiographic evidence of
abnormalities (SCIWORA) and 17 spinal cord injury patients without radiographic evidence of trauma (SCIWORET).
Objectives: We wanted to assess the MRI and clinical findings, the prognosis and effect of anterior decompression of the spinal
cord in SCIWORET patients.
Summary of the Literature Review: SCIWORET is not uncommon among middle-age and elderly people. It is less reported in
adults as compared with children. There are no studies on the method for the treatment or the effectiveness of anterior decompression
of the spinal cord.
Materials and Methods: From February 1994 to December 2005, this study included 27 patients who had cervical spinal cord
injury without radiographic evidence of trauma on the plain roentgenography and MRI. Ten patients had no spinal cord compression
(SCIWORA patients, group 1) and 17 had their spinal cord compressed from the anterior (SCIWORET patients, group
2), We conservatively treated the group 1 patients and 10 of the group 2 patients, and anterior decompression and fusion were
done for 7 of the group 2 patients. Neurological evaluation was performed initial and at last follow up using an ASIA motor
score and the Frankel grade.
Results: The patients who had spinal cord edema on MRI had a better prognosis than those who had contusion (p=0.06). There
is no statistical difference between the two groups for the neurologic changes at the initial period and the last follow up period
(p=0.06, 0.61). Decompression of the spinal cord anteriorly was not effective for the neurologic recovery (p=0.25) and the
involved segments were not related to the neurologic changes (p=0.34, 0.25).
Conclusions: It was presumed that patients with edema of the spinal cord had a better prognosis than those with contusion of
the spinal cord. There was no difference between the SCIWORA and SCIWORET groups for the neurologic changes and anterior
decompression was not effective for the recovery of neurologic symptoms. This study was limited by its retrospective
nature and the small number of patients, so a multi-center study is needed.
KW - Cervical cord injury;MRI;Prognosis
DO -
UR -
ER -
박희전, 이필은, 김완기 and 심영준. (2009). Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging. Journal of Korean Society of Spine Surgery, 16(4), 235-242.
박희전, 이필은, 김완기 and 심영준. 2009, "Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging", Journal of Korean Society of Spine Surgery, vol.16, no.4 pp.235-242.
박희전, 이필은, 김완기, 심영준 "Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging" Journal of Korean Society of Spine Surgery 16.4 pp.235-242 (2009) : 235.
박희전, 이필은, 김완기, 심영준. Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging. 2009; 16(4), 235-242.
박희전, 이필은, 김완기 and 심영준. "Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging" Journal of Korean Society of Spine Surgery 16, no.4 (2009) : 235-242.
박희전; 이필은; 김완기; 심영준. Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging. Journal of Korean Society of Spine Surgery, 16(4), 235-242.
박희전; 이필은; 김완기; 심영준. Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging. Journal of Korean Society of Spine Surgery. 2009; 16(4) 235-242.
박희전, 이필은, 김완기, 심영준. Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging. 2009; 16(4), 235-242.
박희전, 이필은, 김완기 and 심영준. "Diagnosis and Prognosis of Adult Post-traumatic Cervical Cord Injury Without Radiographic Evidence of Trauma Using Magnetic Resonance Imaging" Journal of Korean Society of Spine Surgery 16, no.4 (2009) : 235-242.