Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali Volume 11 Issue 1 (2026)
STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH
МИРЖУРАЕВ Эльбек Миршавкатович, АДАМБАЕВ Зуфар Ибрагимович, МАМАТХАНОВА Чарос Баходировна
Abstract
Relevance. Pathology of the spine and spinal cord represents a pressing medico-social problem in Uzbekistan. Management of combined conditions, including spinal canal stenosis, metal constructs, and degenerative changes forming a “post-traumatic cascade,” is particularly challenging.Objective. To develop a stratification algorithm for managing patients with vertebrogenic pathology and pelvic organ dysfunction (POD) based on clinical-demographic characteristics, neuroimaging findings, and risk factors. Materials and Methods. A retrospective analysis of 250 medical records of patients with myelopathy and POD was conducted (mean age 38.6 ± 12.4 years). Neurological assessment using the ASIA scale, urodynamic studies, MRI/CT imaging, and statistical analysis were performed.Results. Post-traumatic myelopathy predominated (68%), with degenerative changes forming a “post-traumatic cascade” identified in 82% of cases. Spinal canal stenosis >50% showed a strong correlation with POD severity (r = 0.82, p < 0.001). Urinary retention (62%) was most frequently observed in cervical spinal lesions. Major risk factors included age >50 years, stenosis >70%, and the presence of urinary retention. Conclusion. A three-tier patient stratification system with differentiated management tactics is proposed. The necessity of a multidisciplinary approach involving a neurologist, vertebrologist, urologist, and rehabilitation specialist for optimizing treatment outcomes is confirmed.
миелопатия, дисфункция тазовых органов, стеноз позвоночного канала, посттравматический каскад, металлические конструкции, стратификация риска, мультидисциплинарный подход, дегенеративные изменения позвоночника, уродинамические нарушения, реабилитация пациентов с повреждением спинного мозгаmyelopathy, pelvic organ dysfunction (POD), spinal canal stenosis, post-traumatic cascade, metal constructs, risk stratification, multidisciplinary approach, degenerative spinal changes, urodynamic disorders, rehabilitation of patients with spinal cord injurymiellopatiya, tos a’zolari disfunktsiyasi, umurtqa kanali stenozi, posttravmatik kaskad, metall konstruksiyalar, xavfni stratifikatsiya qilish, multidistsiplinar yondashuv, umurtqa pog‘onasining degenerativ o‘zgarishlari, urodinamik buzilishlar, orqa miya shikastlanishi bo‘lgan bemorlarni reabilitatsiya qilish.
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