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Vol. 43. Issue 4.
Pages 155-161 (October - December 2017)
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Vol. 43. Issue 4.
Pages 155-161 (October - December 2017)
REVISIÓN
Lesión medular con normalidad radiológica. Etiología, diagnóstico y problemática médico-legal
Spinal cord injury and normal neuroimaging. Aetiology, diagnosis and medico-legal issues
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José Aso Escarioa,b,
Corresponding author
jaso@maz.es

Autor para correspondencia.
, Cristina Sebastián Sebastiánc, Alberto Aso Vizánd, José Vicente Martínez Quiñonesa, Fabián Consolinia, Ricardo Arregui Calvoa
a Servicio de Neurocirugía, Hospital MAZ, Zaragoza, España
b Facultad de Ciencias de la Salud, Universidad San Jorge, Zaragoza, España
c Servicio de Radiodiagnóstico, Hospital MAZ, Zaragoza, España
d Servicio de Traumatología y Cirugía Ortopédica, Hospital General de la Defensa, Zaragoza, España
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Tabla 1. Cuadros con sintomatología y neuroimagen normal
Resumen

La objetivación de las lesiones espinales o medulares en accidentes es un tema clásico de discusión tanto en Medicina Asistencial como en Medicina Forense. Un problema particular son los pacientes con daño medular sintomático y neuroimagen normal. Estos casos se denominan con los acrónimos SCIWORA («spinal cord injury without radiographic abnormality»), SCIWNA («spinal cord injury without neuroimaging abnormality») y SCIWORET («spinal cord injury without radiologic evidence of trauma»).

Nuestro propósito es revisar los aspectos clínicos, radiológicos y médico-legales de estos cuadros, desconocidos muchas veces para quien no trata habitualmente lesionados medulares. El objetivo principal está centrado en los aspectos médico-legales de estos cuadros. Nuestros resultados cuestionan algunos aspectos del reciente sistema para la valoración de los daños y perjuicios causados a las personas en accidentes de circulación (Ley 35/2015), en los llamados traumatismos cervicales menores. En consecuencia, el tratamiento que la reciente legislación española da a dichos traumatismos podría necesitar ser revisada.

Palabras clave:
Traumatismos raquídeos
Lesiones medulares
Indemnización
Abstract

The objective demonstration of minor spinal and spinal-cord lesions following accidents is a classic discussion issue in both Clinical and Forensic Medicine. Particular problems are the patients with symptomatic spinal cord damage and normal neuroimaging. These situations are usually named with acronyms: SCIWORA (“spinal cord injury without radiographic abnormality”), SCIWNA (“apinal cord injury without neuroimaging abnormality”), and SCIWORET (“spinal cord injury without radiological evidence of trauma”).

Our purpose is to review the main clinical, radiological, and medico-legal features of these conditions, often unknown by those who are not used to treating spinal cord lesions. The main objective is focused on the medico-legal problems of these conditions. The results of our review places under question some aspects of the recent 35/2015 Spanish Law on accidents compensation, in particular when dealing with minor spinal injuries. Therefore, a review of the recent Spanish law's statements about spinal minor injuries compensation is required.

Keywords:
Spine injury
Spinal cord injury
Compensation

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