TY - JOUR

T1 - НЕЙРОГЕННЫЕ ДИСФУНКЦИИ НИЖНИХ МОЧЕВЫХ ПУТЕЙ ПРИ ИНФЕКЦИОННО-ВОСПАЛИТЕЛЬНЫХ ЗАБОЛЕВАНИЯХ ПОЗВОНОЧНИКА: СУЩЕСТВУЕТ ЛИ КОРРЕЛЯЦИЯ С КЛИНИКО-ЛУЧЕВЫМИ ВАРИАНТАМИ МИЕЛОПАТИИ? ПРЕДВАРИТЕЛЬНЫЙ РЕЗУЛЬТАТ АНАЛИЗА МОНОЦЕНТРОВОЙ КОГОРТЫ

AU - Горбунов, Александр Игоревич

AU - Мушкин, Михаил Александрович

AU - Каюмова, Диана Айратовна

AU - Муравьев , Александр Николаевич

AU - Горелов, Андрей Игоревич

AU - Орлова , Надежда Валерьевна

AU - Горелова, Анна Андреевна

PY - 2023/10/5

Y1 - 2023/10/5

N2 - Objective. To study the relationship between clinical and radiation variants of myelopathy and types of the neurogenic dysfunction of the lower urinary tract in patients with infectious spondylitis. Material and Methods. A single-center cohort observational study was conducted with the analysis of medical records and a prospective examination of 20 patients with infectious spondylitis complicated by neurogenic dysfunction of the lower urinary tract. Results. Infectious spondylitis can be complicated by the development of various urodynamic disorders, including neurogenic detrusor hyperactivity (30 %), its combination with detrusor-sphincter dissinergia (30 %) and a decrease in detrusor contractility (40 %). In 50 % of patients, an urodynamic examination revealed an increase in detrusor pressure of more than 40 cm water. There was no connection between the development of any type of lower urinary tract dysfunction and MRI types of myelopathy according to Vendatam, as well as between the level of spinal cord compression and the severity of neurological disorders according to AIS. Conclusion. The results of the study do not confirm the existence of a relationship between the various characteristics of myelopathy in infectious spondylitis and the results of urodynamic examination. The limitation of the reliability of the results is the small number of observations. Studies with a larger sample are required to assess the relationship between the clinical and radiation characteristics of myelopathy and variants of neurogenic dysfunction of the lower urinary tract in patients with infectious spondylitis.

AB - Objective. To study the relationship between clinical and radiation variants of myelopathy and types of the neurogenic dysfunction of the lower urinary tract in patients with infectious spondylitis. Material and Methods. A single-center cohort observational study was conducted with the analysis of medical records and a prospective examination of 20 patients with infectious spondylitis complicated by neurogenic dysfunction of the lower urinary tract. Results. Infectious spondylitis can be complicated by the development of various urodynamic disorders, including neurogenic detrusor hyperactivity (30 %), its combination with detrusor-sphincter dissinergia (30 %) and a decrease in detrusor contractility (40 %). In 50 % of patients, an urodynamic examination revealed an increase in detrusor pressure of more than 40 cm water. There was no connection between the development of any type of lower urinary tract dysfunction and MRI types of myelopathy according to Vendatam, as well as between the level of spinal cord compression and the severity of neurological disorders according to AIS. Conclusion. The results of the study do not confirm the existence of a relationship between the various characteristics of myelopathy in infectious spondylitis and the results of urodynamic examination. The limitation of the reliability of the results is the small number of observations. Studies with a larger sample are required to assess the relationship between the clinical and radiation characteristics of myelopathy and variants of neurogenic dysfunction of the lower urinary tract in patients with infectious spondylitis.

KW - infectious spondylitis

KW - neurogenic lower urinary tract dysfunction

KW - urodynamic

UR - https://www.elibrary.ru/item.asp?id=54645956

UR - https://www.mendeley.com/catalogue/6383ca94-317b-3574-8e65-91f18f35ce0f/

U2 - 10.14531/ss2023.3.79-85

DO - 10.14531/ss2023.3.79-85

M3 - статья

VL - 20

SP - 79

EP - 85

JO - Hirurgia Pozvonochnika

JF - Hirurgia Pozvonochnika

SN - 1810-8997

IS - 3

ER -