Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research 7-jild 1-son (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
Annotatsiya
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.
миелопатиянарушение функции тазовых органов (НФТО)стеноз позвоночного каналапосттравматический каскадметаллоконструкциистратификация рискамультидисциплинарный подходдегенеративные изменения позвоночникауродинамические нарушенияреабилитация пациентов с поражением спинного мозга
Metadata manbasi: jurnal OAI-PMH arxivi · Sindex toʻliq matnni saqlamaydi, manbaga havola beradi.