Document Detail

Tandem spinal cord injuries without radiographic abnormalities in a young child.
MedLine Citation:
PMID:  10461074     Owner:  NLM     Status:  MEDLINE    
Anatomic features unique to the pediatric spine render this population susceptible to spinal cord injuries without radiographic abnormalities (SCIWORA). To date, published descriptions of SCIWORA have been limited to a single region of the spinal column. We describe a case of a 3-year-old boy in whom, after a motor vehicle accident, tandem SCIWORA lesions involving the lower cervical spinal cord and thoracolumbar junction resulted in severe quadraparesis. The child was initially treated with 24 h of methylprednisolone followed by 3 months of external orthoses of both the cervical and thoracic spine. We include in this article a brief review of the literature and treatment guidelines for SCIWORA and postulate the mechanism of these tandem spinal cord injuries.
J Pollina; V Li
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  30     ISSN:  1016-2291     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:  1999 May 
Date Detail:
Created Date:  1999-11-22     Completed Date:  1999-11-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  IM    
Department of Neurosurgery, Children's Hospital of Buffalo, University of Buffalo School of Medicine, Buffalo, NY 14222, USA.
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MeSH Terms
Age Factors
Cervical Vertebrae / pathology*,  radiography
Child, Preschool
Magnetic Resonance Imaging
Spinal Cord Injuries / classification,  diagnosis*,  physiopathology,  therapy
Spine / pathology*,  radiography
Thoracic Vertebrae / pathology*,  radiography

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