The misapplication of the term spinal cord injury without radiographic abnormality (SCIWORA) in adults.


Como JJ et al. – Spinal cord injury without computed tomography evidence of trauma (SCIWOCTET) is mainly a disease of adults, and its subset Spinal cord injury without radiographic abnormality (SCIWORA), a disease of children, is much less common. Adults with this disease have computed tomographic (CT) scans showing canal stenosis and significant degenerative changes in the cervical spine; thus, it is not accurate to state that they have SCIWORA. The characteristics of this patient population are important as SCIWOCTET is the concern when clearing the cervical spines of trauma patients with a CT scan of the cervical spine negative for injury.

Source: Journal of Trauma