Cervical spinal cord injuries without radiographic evidence of trauma

A prospective study

S. P. Mohanty, N. S. Bhat, K. A. Singh, M. Bhushan

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Study design:Prospective study.Objectives:In a prospective study, 45 consecutive cases of cervical spinal cord injury without radiographic evidence of trauma (SCIWORET) who were treated non-operatively were analyzed to correlate the magnetic resonance image findings with the initial neurological deficit and the extent of neurological recovery at 2 years.Setting:University tertiary-care teaching hospital in South India.Methods:The neurological status of patients who did not have any radiographic or computerized tomographic abnormality at the time of admission was assessed by ASIA Impairment Scale (AIS) modification of Frankel's grading. The spinal cord abnormality seen in the magnetic resonance imaging was noted. The neurological status at the end of 2 years was recorded.Results:Twenty-seven of the 45 patients (60%) had cord oedema, 8 (17.77%) had cord contusion, 8 (17.77%) patients had a normal cord and 2 (4.44%) patients had cord swelling on the magnetic resonance image. Out of 27 patients who presented with cord oedema, 14 (31.11%) patients recovered from AIS D to AIS E and 6 (13.33%) patients did not recover and remained at AIS D. Seven (15.55%) patients who had a normal cord recovered completely to AIS E. Five (11.11%) patients who had contusion of the cord recovered up to AIS D.Conclusion:The initial neurological status correlates with magnetic resonance imaging findings. Subsequent neurological recovery is dependent on the type of cord damage and initial neurological status. The rate of recovery and the final motor outcome are inversely related to the length of cord involvement.

Original languageEnglish
Pages (from-to)815-818
Number of pages4
JournalSpinal Cord
Volume51
Issue number11
DOIs
Publication statusPublished - 01-11-2013

Fingerprint

Spinal Cord Injuries
Prospective Studies
Wounds and Injuries
Contusions
Edema
Magnetic Resonance Spectroscopy
Magnetic Resonance Imaging
Cervical Cord
Tertiary Healthcare
Teaching Hospitals
India
Spinal Cord

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

Mohanty, S. P. ; Bhat, N. S. ; Singh, K. A. ; Bhushan, M. / Cervical spinal cord injuries without radiographic evidence of trauma : A prospective study. In: Spinal Cord. 2013 ; Vol. 51, No. 11. pp. 815-818.
@article{ee4e9468134a4340828495f83b0e5f08,
title = "Cervical spinal cord injuries without radiographic evidence of trauma: A prospective study",
abstract = "Study design:Prospective study.Objectives:In a prospective study, 45 consecutive cases of cervical spinal cord injury without radiographic evidence of trauma (SCIWORET) who were treated non-operatively were analyzed to correlate the magnetic resonance image findings with the initial neurological deficit and the extent of neurological recovery at 2 years.Setting:University tertiary-care teaching hospital in South India.Methods:The neurological status of patients who did not have any radiographic or computerized tomographic abnormality at the time of admission was assessed by ASIA Impairment Scale (AIS) modification of Frankel's grading. The spinal cord abnormality seen in the magnetic resonance imaging was noted. The neurological status at the end of 2 years was recorded.Results:Twenty-seven of the 45 patients (60{\%}) had cord oedema, 8 (17.77{\%}) had cord contusion, 8 (17.77{\%}) patients had a normal cord and 2 (4.44{\%}) patients had cord swelling on the magnetic resonance image. Out of 27 patients who presented with cord oedema, 14 (31.11{\%}) patients recovered from AIS D to AIS E and 6 (13.33{\%}) patients did not recover and remained at AIS D. Seven (15.55{\%}) patients who had a normal cord recovered completely to AIS E. Five (11.11{\%}) patients who had contusion of the cord recovered up to AIS D.Conclusion:The initial neurological status correlates with magnetic resonance imaging findings. Subsequent neurological recovery is dependent on the type of cord damage and initial neurological status. The rate of recovery and the final motor outcome are inversely related to the length of cord involvement.",
author = "Mohanty, {S. P.} and Bhat, {N. S.} and Singh, {K. A.} and M. Bhushan",
year = "2013",
month = "11",
day = "1",
doi = "10.1038/sc.2013.87",
language = "English",
volume = "51",
pages = "815--818",
journal = "Spinal Cord",
issn = "1362-4393",
publisher = "Nature Publishing Group",
number = "11",

}

Cervical spinal cord injuries without radiographic evidence of trauma : A prospective study. / Mohanty, S. P.; Bhat, N. S.; Singh, K. A.; Bhushan, M.

In: Spinal Cord, Vol. 51, No. 11, 01.11.2013, p. 815-818.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cervical spinal cord injuries without radiographic evidence of trauma

T2 - A prospective study

AU - Mohanty, S. P.

AU - Bhat, N. S.

AU - Singh, K. A.

AU - Bhushan, M.

PY - 2013/11/1

Y1 - 2013/11/1

N2 - Study design:Prospective study.Objectives:In a prospective study, 45 consecutive cases of cervical spinal cord injury without radiographic evidence of trauma (SCIWORET) who were treated non-operatively were analyzed to correlate the magnetic resonance image findings with the initial neurological deficit and the extent of neurological recovery at 2 years.Setting:University tertiary-care teaching hospital in South India.Methods:The neurological status of patients who did not have any radiographic or computerized tomographic abnormality at the time of admission was assessed by ASIA Impairment Scale (AIS) modification of Frankel's grading. The spinal cord abnormality seen in the magnetic resonance imaging was noted. The neurological status at the end of 2 years was recorded.Results:Twenty-seven of the 45 patients (60%) had cord oedema, 8 (17.77%) had cord contusion, 8 (17.77%) patients had a normal cord and 2 (4.44%) patients had cord swelling on the magnetic resonance image. Out of 27 patients who presented with cord oedema, 14 (31.11%) patients recovered from AIS D to AIS E and 6 (13.33%) patients did not recover and remained at AIS D. Seven (15.55%) patients who had a normal cord recovered completely to AIS E. Five (11.11%) patients who had contusion of the cord recovered up to AIS D.Conclusion:The initial neurological status correlates with magnetic resonance imaging findings. Subsequent neurological recovery is dependent on the type of cord damage and initial neurological status. The rate of recovery and the final motor outcome are inversely related to the length of cord involvement.

AB - Study design:Prospective study.Objectives:In a prospective study, 45 consecutive cases of cervical spinal cord injury without radiographic evidence of trauma (SCIWORET) who were treated non-operatively were analyzed to correlate the magnetic resonance image findings with the initial neurological deficit and the extent of neurological recovery at 2 years.Setting:University tertiary-care teaching hospital in South India.Methods:The neurological status of patients who did not have any radiographic or computerized tomographic abnormality at the time of admission was assessed by ASIA Impairment Scale (AIS) modification of Frankel's grading. The spinal cord abnormality seen in the magnetic resonance imaging was noted. The neurological status at the end of 2 years was recorded.Results:Twenty-seven of the 45 patients (60%) had cord oedema, 8 (17.77%) had cord contusion, 8 (17.77%) patients had a normal cord and 2 (4.44%) patients had cord swelling on the magnetic resonance image. Out of 27 patients who presented with cord oedema, 14 (31.11%) patients recovered from AIS D to AIS E and 6 (13.33%) patients did not recover and remained at AIS D. Seven (15.55%) patients who had a normal cord recovered completely to AIS E. Five (11.11%) patients who had contusion of the cord recovered up to AIS D.Conclusion:The initial neurological status correlates with magnetic resonance imaging findings. Subsequent neurological recovery is dependent on the type of cord damage and initial neurological status. The rate of recovery and the final motor outcome are inversely related to the length of cord involvement.

UR - http://www.scopus.com/inward/record.url?scp=84887408652&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887408652&partnerID=8YFLogxK

U2 - 10.1038/sc.2013.87

DO - 10.1038/sc.2013.87

M3 - Article

VL - 51

SP - 815

EP - 818

JO - Spinal Cord

JF - Spinal Cord

SN - 1362-4393

IS - 11

ER -