Stratification of management for patients with combined vertebrogenic pathology and pelvic organ dysfunction: a multidisciplinary approach

MIRZHURAEV Elbek Mirshavkatovich, ADAMBAEV Zufar Ibragimovich, MAMATKHANOVA Charos Bahodirovna

Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali · 2026-yil

Annotatsiya

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.

Maqola ma’lumotlari
MualliflarMIRZHURAEV Elbek Mirshavkatovich, ADAMBAEV Zufar Ibragimovich, MAMATKHANOVA Charos Bahodirovna
JurnalJournal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali
NashriyotТошкент давлат стоматалогия институти, , «Expert Lawyers» MЧЖ
ISSN2181-9300
Nashr sanasi2026-04-21
Jild11
Son1
TilIngliz
Ilmiy sohaTibbiyot
Indeksga qo‘shilgan2026-08-27

Maqolaning asl sahifasi

Kalit so‘zlar

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 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, miellopatiya, 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.

Ilmiy soha

Tibbiyot

Iqtibos keltirish

APAMIRZHURAEV Elbek Mirshavkatovich, ADAMBAEV Zufar Ibragimovich, & MAMATKHANOVA Charos Bahodirovna (2026). STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH. Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali, 11(1). https://tadqiqot.uz/index.php/biomedicine/article/view/13467
GOST (OAK)MIRZHURAEV Elbek Mirshavkatovich, ADAMBAEV Zufar Ibragimovich, MAMATKHANOVA Charos Bahodirovna STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH // Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali. – 2026. – T. 11, № 1.
MLAMIRZHURAEV Elbek Mirshavkatovich, ADAMBAEV Zufar Ibragimovich, and MAMATKHANOVA Charos Bahodirovna. “STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH.” Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali, 11(1), 2026. https://tadqiqot.uz/index.php/biomedicine/article/view/13467
ChicagoMIRZHURAEV Elbek Mirshavkatovich, ADAMBAEV Zufar Ibragimovich, and MAMATKHANOVA Charos Bahodirovna. “STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH.” Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali, 11(1) (2026). https://tadqiqot.uz/index.php/biomedicine/article/view/13467
HarvardMIRZHURAEV Elbek Mirshavkatovich, ADAMBAEV Zufar Ibragimovich, and MAMATKHANOVA Charos Bahodirovna (2026) ‘STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH’, Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali, 11(1). https://tadqiqot.uz/index.php/biomedicine/article/view/13467
BibTeX
@article{mirzhuraevelbekmirshavkatovich2026,
  title = {STRATIFICATION OF MANAGEMENT FOR PATIENTS WITH COMBINED VERTEBROGENIC PATHOLOGY AND PELVIC ORGAN DYSFUNCTION: A MULTIDISCIPLINARY APPROACH},
  author = {MIRZHURAEV Elbek Mirshavkatovich and ADAMBAEV Zufar Ibragimovich and MAMATKHANOVA Charos Bahodirovna},
  journal = {Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali},
  year = {2026},
  volume = {11},
  number = {1},
  url = {https://tadqiqot.uz/index.php/biomedicine/article/view/13467}
}

Boshqa maqola uchun iqtibos tayyorlash

Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali jurnalidan boshqa maqolalar

Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali — barcha maqolalar · 2026-yil arxivi

MIRZHURAEV Elbek Mirshavkatovich — boshqa maqolalari

Tibbiyot sohasidagi boshqa maqolalar

Tibbiyot sohasidagi OAK jurnallari