AccScience Publishing / ITPS / Volume 7 / Issue 1 / DOI: 10.36922/itps.1386
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Guidelines for treating spinal cord injury without radiological abnormalities in children

Ruba Altahla1 ,  Jamal Alshorman2 ,  Xu Tao1*
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1 Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
2 Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
INNOSC Theranostics and Pharmacological Sciences 2024, 7(1), 1386 https://doi.org/10.36922/itps.1386
Submitted: 27 July 2023 | Accepted: 6 September 2023 | Published: 13 October 2023
© 2023 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
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Abstract

Spinal cord injury without radiological abnormality (SCIWORA) is a rare condition that predominantly affects children. The enigmatic nature of SCIWORA poses significant challenges in terms of diagnosis, treatment, and achieving full recovery. Various factors, such as different injury mechanisms, delayed symptom onset, normal magnetic resonance imaging findings in certain cases, and complex management decisions, contribute to the challenges of dealing with SCIWORA. Attaining a significant outcome and complete recovery through a single-treatment approach is difficult. Therefore, a multifaceted treatment strategy is proposed to yield more favorable results. This paper comprehensively addresses the assessment and management, examination and diagnosis procedures, treatment methods, rehabilitation techniques, and potential complications associated with SCIWORA in children. The paper provides therapeutic guidance for physicians and medical staff, with the aim of enhancing survival rates and improving recovery outcomes. Moreover, it offers suggestions for restoring neurological functions in pediatric patients suffering from SCIWORA.

Keywords
Spinal cord injury without radiological abnormality
Pediatrics
Magnetic resonance imaging
Surgery
Therapeutic treatment
Rehabilitation
Funding
National Natural Science Foundation of China
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Conflict of interest
All the authors declare no conflicts of interest.
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