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OCR: SCIWORA Children Hospital of Pittsburgh 55 children with SCIWORA (67% of all children with spinal cord l injury). Severe lesions 90%) C5-8 15%) 95 severe below age Delayed deterioration (hours to days) in 27% transient initial symptoms worsening in 30 min to days Recurrent cord injury in 15% after minor trauma Pang et al. J Trauma 29:654 1989 pelow Delaved Recurreni