SCIWORA is the abbreviation of spinal cord injury without radiographic abnormality 1,2. This may be an indication for MRI when there is a persisting, objective myelopathy after a traumatic event with normal plain film and CT findings. It accounts for ~10% of spinal cord injuries.
Spinal cord injury without radiographic abnormality is more common in the pediatric population.
History and etymology
Spinal cord injury without radiographic abnormality was first described by Pang et al, in 1982 1,2.
- 1. Gelbman AI, Maydew MS. Cervical laminar torus fracture in a child. AJR Am J Roentgenol. 2001;176 (3): 769-70. doi:10.2214/ajr.176.3.1760769 - Pubmed citation
- 2. Kothari P, Freeman B, Grevitt M et-al. Injury to the spinal cord without radiological abnormality (SCIWORA) in adults. J Bone Joint Surg Br. 2000;82 (7): 1034-7. Pubmed citation
- 3. Szwedowski D, Walecki J. Spinal Cord Injury without Radiographic Abnormality (SCIWORA) - Clinical and Radiological Aspects. Pol J Radiol. 2014;79: 461-4. doi:10.12659/PJR.890944 - Free text at pubmed - Pubmed citation