Abstract
Introduction Spinal cord injury without radiological abnormality (SCIWORA) has been reported previously in both pediatric and adult patients, the cervical spine being the most commonly affected site. The thoracic spine is a biomechanically stable structure supported by costotransverse articulations and the rib cage, which increases axial loading capacity by three to four times. Furthermore, advancing rigidity of the aging spine in adult patients makes thoracic SCIWORA a rare scenario. Although there are a few reports of upper thoracic SCIWORA in adults, we were unable to find any published reports of thoraco-lumbar SCIWORA in an adult.
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