To Study Spinal Cord Injury without Radiolographical Abnormality in Tertiary Care Centre in Central India

Spinal Cord Injury Without Radiographic Abnormality (SCIWORA) is characterized by significant spinal cord injury symptoms despite normal findings on traditional radiographic imaging. This study aims to elucidate the epidemiology, risk factors, and clinical manifestations of SCIWORA, with a focus on diagnostic challenges and outcomes. A retrospective analysis was conducted on 24 participants diagnosed with SCIWORA. Demographic data, clinical presentation, imaging results, and associated factors were reviewed. Statistical analysis was performed to determine the distribution of findings and correlations with outcomes. The mean age of participants was 45.71?14.40 years, with a significant male predominance (83.3%). The most common occupation was farming (33.3%). Clinical presentation included pain during movement (95.8%), bilateral limb weakness (83.3%), and varying Glasgow Coma Scale (GCS) scores. Imaging revealed spinal cord contusion with edema in the majority of participants (66.7%), and traumatic disc herniation in 25%. Pre - existing spondylodegenerative changes were present in 45.8% of cases. SCIWORA poses significant diagnostic and management challenges due to its subtle presentation on standard imaging. MRI remains crucial for diagnosis but may not detect all cases. Enhanced clinical vigilance and a multidisciplinary approach are essential for effective management. Further research is needed to refine diagnostic strategies and treatment protocols.