ArticleScientific reports2024
Analysis of imaging risk factors for prognosis in children with spinal cord injury without radiologic abnormalities.
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Redefining Pediatric SCIWORA: A Systematic Review of the Literature on Clinical Patterns, Imaging Profiles, and Management Insights.Journal of clinical medicine · 2025Review
- Filum terminale transection in pediatric SCIWORA with tight filum terminale: a case series and literature review.Frontiers in pediatrics · 2025Article
- Correlation between MRI high-signal parameters and prognosis in cervical spinal cord injury without fracture and dislocation.Frontiers in neurologyArticle
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
This study aimed to identify imaging risk factors for spinal cord injury without radiologic abnormalities (SCIWORA) in children. We retrospectively analyzed the medical records and magnetic resonance imaging (MRI) findings of children with SCIWORA admitted to our hospital between January 1, 2012, and September 30, 2022. Univariate and binary logistic regression analyses were used to evaluate the prognostic impact of various factors including MRI type, maximum cross-sectional area of spinal cord injury, injury length, injury signal intensity ratio. The American Spinal Injury Association (ASIA) impairment scale (AIS) was used to assess neurological improvement of spinal cord injury. A total of 39 patients met the inclusion criteria, comprising three males and 36 females aged 6.38 ± 1.7 years. The injuries were predominantly dance-related (25 patients), followed by car accidents (4 patients), and falls/sprains (10 patients). Seventeen patients showed improvement in the AIS grade, while 22 did not. Binary logistic regression analysis revealed that the maximum cross-sectional area and length of the damaged segment were significant prognostic factors. Receiver operating characteristic curve analysis demonstrated an area under the curve (AUC) of 0.91, with a maximum cutoff value, sensitivity, and specificity of 0.12, 81.80%, and 88.20%, respectively, for the maximum damage cross-sectional area. For the damaged segment length, the AUC, maximum cutoff value, sensitivity, and specificity were 0.78, 6.50, 50%, and 41%, respectively. Whole-spine MRI plays a crucial role in the diagnosis and prognosis of pediatric patients with SCIWORA. The cross-sectional area and length of spinal cord injury are risk factors for poor prognosis.Level of evidence: IV.
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