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Korean J Pediatr 2004 November;47(11)
A Case of Spinal Cord Injury without Radiographic Abnormality
Seoung Joon Kim (Kim SJ)1, Dae Kyun Koh (Koh DK)1, Jin Hee Oh (Oh JH)1, Jong Hyun Kim (Kim JH)1, Jung Soo Jun (Jun JS)2
1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Corresponding Author: Dae Kyun Koh ,Email: kdk@hanmail.net
Copyright © 2004 by The Korean Pediatric Society
ABSTRACT
A spinal cord injury without radiographic abnormality(SCIWORA) was defined by Pang and Wilberger in 1982 as the "objective signs of myelopathy as a result of trauma" in which no evidence of fracture, subluxation, or instability on plain radiographs, or computed tomography is demonstrable. Inherent elasticity of the vertebral column in infants and young children, among other age-related anatomical peculiarities, render the pediatric bony cervical and thoracic spine exceedingly vulnerable to deforming forces. We report here on a case of SCIWORA in a 3-year-old girl who presented with lower extremity paralysis, paresthesia, and voiding difficulty. The mechanism of neural damage in this case was purely longitudinal distraction. Such stress on the spine resulted from severe pulling up the lower extremity by her father, which was not thought to be damaging at that time.
Keywords: or instability on plain radiographs
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