Universität zu Köln

Boese, C. K., Mueller, D., Broeer, R., Eysel, P., Krischek, B., Lehmann, H. C. and Lechler, P. (2016). Spinal cord injury without radiographic abnormality (SCIWORA) in adults: MRI type predicts early neurologic outcome. Spinal Cord, 54 (10). S. 878 - 884. LONDON: NATURE PUBLISHING GROUP. ISSN 1476-5624

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Abstract

Objectives: The present study aimed to analyse the clinical and neuroimaging features of a consecutive series of adult patients with spinal cord injury without radiographic abnormality (SCIWORA) receiving early magnetic resonance imaging (MRI), and to apply the recently proposed MRI classification system. Methods: Grade of neurologic impairment at admission and discharge was reported according to the American Spinal Injury Association Impairment Scale (AIS). A detailed analysis and categorisation of the extra-and intramedullary MRI findings was performed, and the relationship between imaging type and neurological outcome was described. Results: Twenty-six adult patients (17 male and 9 female) with SCIWORA were identified (mean age of 52 years). The distribution of the initial AIS grade was 8% A (n= 2), 19% B (n= 5), 31% C (n= 8) and 42% D (n= 11) at admission and 15% (n= 4) C, 58% (n= 15) D and 27% (n= 7) E at discharge, respectively. Type I SCIWORA was found in 23% (n= 6) and type II in 77% (n= 20) (IIa: 0%, IIb: 25%, IIc: 75%). The mean improvement of AIS grade in patients with type I lesions was 1.5 (median 1, range 1-3) and 0.9 (median 1, range 0-3) in type II. Conclusion: The findings underline the prognostic role of early MRI for adult patients with SCIWORA and support the use of the recently introduced MRI classification system.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Boese, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Broeer, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Krischek, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehmann, H. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lechler, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-260293
DOI:	10.1038/sc.2016.13
Journal or Publication Title:	Spinal Cord
Volume:	54
Number:	10
Page Range:	S. 878 - 884
Date:	2016
Publisher:	NATURE PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	1476-5624
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MINOR TRAUMA; RADIOLOGICAL ABNORMALITY; CERVICAL-SPINE; CHILDREN; SEVERITY; RISK Multiple languages Clinical Neurology; Rehabilitation Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26029