Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research Том 7 № 1 (2026)
STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH
Мирджураев Эльбек Миршавкатович, Адамбаев Зуфар Ибрагимович, Маматханова Чарос Баходировна
Аннотация
Relevance. Pathology of the spine and spinal cord is a pressing medico-social problem in Uzbekistan. Managing combined pathology (stenosis, metal constructs, degenerative changes) forming a "post-traumatic cascade" presents particular complexity. Objective. To develop a stratification algorithm for managing patients with vertebrogenic pathology and pelvic organ dysfunction (POD) based on clinical-demographic data, neuroimaging, and risk factors. Materials and Methods. Retrospective analysis of 250 medical records of patients with myelopathy and POD (mean age 38.6±12.4 years). Neurological assessment (ASIA scale), urodynamic studies, MRI/CT, and statistical processing were used. Results. Post-traumatic myelopathy (68%) with degenerative changes ("post-traumatic cascade" in 82%) predominated. Stenosis>50% correlated with POD severity (r=0.82, p<0.001). Urinary retention (62%) dominated in cervical lesions. Risk factors: age >50 years, stenosis >70%, urinary retention. Conclusion. A three-tier stratification of patients with differentiated management tactics is proposed. The necessity of a multidisciplinary approach (neurologist, vertebrologist, urologist, rehabilitation specialist) for treatment optimization is confirmed.
миелопатия, нарушение функции тазовых органов (НФТО), стеноз позвоночного канала, посттравматический каскад, металлоконструкции, стратификация риска, мультидисциплинарный подход, дегенеративные изменения позвоночника, уродинамические нарушения, реабилитация пациентов с поражением 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 injurymiyelopatiya, chanoq a'zolari funksiyasi buzilishi (ChAFB), umurtqa kanali stenozi, post-travmatik kaskad, metall konstruksiyalar, xavf stratifikatsiyasi, multiditsiplinar yondashuv, umurtqa pog'onasining degenerativ o‘zgarishlari, urodinamik buzilishlar, orqa miya shikastlanishi bo'lgan bemorlarni reabilitatsiya qilish
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