Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali Том 11 № 1 (2026)
Analysis of Patients with Spinal Pathology and Spinal Cord Diseases at the Republican Center for Rehabilitation of Disabled Persons
МАМАТХОНОВА Чарос Баходировна
Аннотация
Relevance: Pathology of the spine and spinal cord with pelvic organ dysfunction (POD) is a leading cause of disability, requiring optimization of rehabilitation strategies. Objective: To analyze the structure of patients with vertebrogenic myelopathy and POD to identify risk factors and improve management tactics. Materials and Methods: Retrospective analysis of 250 patients (males – 68%, mean age 38.6±12.4 years) with myelopathy and POD. Neurological status (ASIA), urodynamic studies, MRI/CT were used. Statistical processing – IBM SPSS 26.0. Results: Post-traumatic myelopathies dominated (68%), spinal canal stenosis was detected in 92%, metal constructs – in 78%. Urinary retention (62%) correlated with cervical level lesions (C5–C7), mixed-type POD (25%) – with thoracic (Th7–Th12). Motor disorders reached 95% (severe degree – 70%). Risk factors: age >50 years, stenosis >70%, urinary retention. Conclusion: Key directions – early surgical decompression for stenosis >50%, urodynamic monitoring, and multidisciplinary rehabilitation to reduce disability.
вертеброгенная миелопатиянарушение функции тазовых органовпосттравматические осложнениядегенеративные заболевания позвоночникастеноз позвоночного каналаметаллоконструкцииреабилитация инвалидовуродинамические нарушениядвигательные расстройствафакторы риска
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