Early MRI finding in adult spinal cord injury without radiologic abnormalities does not correlate with the neurological outcome: a retrospective study

We congratulate Liu et al.¹ on their series of 54 adult patients with spinal cord injury without radiologic abnormalities (SCIWORA) who underwent magnetic resonance imaging (MRI), which has been recently published in your esteemed journal. The diagnostic approach is well defined, MRI findings were grouped according to previously described imaging patterns and all the patients were followed up 6 months after discharge.

Interestingly, the author’s central conclusion that the findings of early MRI in SCIWORA do not correlate with the neurological outcome does contradict the majority of the previously published literature on SCIWORA in adults² and children.³

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