Spinal Concussion in Adults: Transient Neuropraxia of Spinal Cord Exposed to Vertical Forces.

Spinal Concussion in Adults: Transient Neuropraxia of Spinal Cord Exposed to Vertical Forces.

World Neurosurg. 2018 Apr 04;:

Authors: Asan Z

Abstract
OBJECTIVE: The aim of the study is to discuss along with literature knowledge the post-traumatic clinical progression of cases with symptoms of transient spinal cord impact and cases of spinal concussion following the exposure of the vertebral column to vertical forces.
MATERIALS AND METHODS: A total of 43 cases were diagnosed with spinal concussion. All of the cases were cases of fall from height where it was determined that the vertebral column had been exposed to the effects of vertical forces and the spinal cord had been affected under the effect of vertical forces. In all cases, spinal MRI and dynamic x-ray examinations were performed at the time of admission. Clinical symptoms of the cases were recorded by scoring based on the Torg Grading System.
RESULTS: Cases were started on conservative treatment as radiological symptoms that would explain the clinical symptoms could not be detected. Most frequently encountered were the neurological symptoms related to the upper thoracic and lower cervical segments being affected. In 7 cases, urinary incontinence was also detected. It was determined that symptoms related to the spinal cord being affected were completely recovered in 1-3 days in all cases.
CONCLUSION: As a result of the vertebral column being affected by vertical forces, the most frequently affected are the thoracic segments of the spinal cord. These cases show similarities to real SCIWORA cases when evaluated along with clinical and radiological symptoms. Absolute differential diagnosis from real SCIWORA cases cannot be made until total neurological recovery takes place.

PMID: 29626691 [PubMed - as supplied by publisher]

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