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.
| Mualliflar | Мирджураев Эльбек Миршавкатович, Адамбаев Зуфар Ибрагимович, Маматханова Чарос Баходировна |
|---|---|
| Jurnal | Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research |
| Nashr sanasi | 2026-04-01 |
| Jild | 7 |
| Son | 1 |
| Til | Rus |
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 мозга, myelopathy, 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 injury, miyelopatiya, 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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