Pediatric SCIWORA-Type Injuries Revisited: What Should be the Most Discerning Definition of SCIWORA at the Current Days?

Abstract

The traditional concept of "SCIWORA" is nowadays being reassessed due to the accumulation of clinical knowledge and the improvement in diagnostic accuracy to study this entity. In the current era of magnetic resonance imaging as the gold standard in spinal pathology, particularly the diffusion tensor imaging scanning, the present article aims to respond the challenge of critically reviewing and redefining this entity as accurately as possible. Another important fact will be to discuss the best treatment option for these patients, because while conventional approaches agreed with a conservative management, some modern streams of thought defend an early surgical procedure to avoid a worst prognosis in selected cases.

Radiology diagnostics of spinal corel injury in early children: a prospective study

“…Кроме того, STIR позволяет идентифицировать отек костного мозга в поврежденных позвонках, даже когда повреждения не выявлены при КТ. Следует отметить, что все большую значимость приобретают DWI/DTI, которые уже в настоящее время показывают полезность в выявлении признаков ишемии спинного мозга и оценке его целостности [10,36].…”