Progress in the diagnosis and treatment of spinal cord injury without radiologic abnormality in children
10.3760/cma.j.issn.1673-4912.2021.10.004
- VernacularTitle:儿童无放射影像异常脊髓损伤诊疗进展
- Author:
Xiaoxu REN
1
Author Information
1. 首都儿科研究所附属儿童医院重症医学科，北京 100020
- Keywords:
Children;
Trauma;
Spinal cord injury;
Radiological imaging;
Magnetic resonance imaging
- From:
Chinese Pediatric Emergency Medicine
2021;28(10):859-863
- CountryChina
- Language:Chinese
-
Abstract:
Spinal cord injury without radiologic abnormality (SCIWORA) is more common in children than adults.The reason is that the spinal cord is much more compliant than the spinal cord in children.Under trauma, the elastic changes of accommodating spine exceed the elastic limit of spinal cord, which is manifested as a stretch injury of spinal cord and its secondary pathological changes.The range of symptoms is wide and the clinical manifestations are complex and diverse.MRI is the key to diagnosing suspected cases.The treatment plan is related to the severity and characteristics of spinal cord injury.The acute phase of complete spinal cord injury requires necessary respiratory, circulatory, nutritional assessment and supportive treatment.High-dose corticosteroid therapy is not currently recommended.
