Neurogenic dysfunction of the lower urinary tract in infectious and inflammatory diseases of the spine: is there a correlation with clinical and radiological variants of myelopathy? Preliminary result of the analysis of a single-center cohort-Reference-Cited by-同舟云学术

Neurogenic dysfunction of the lower urinary tract in infectious and inflammatory diseases of the spine: is there a correlation with clinical and radiological variants of myelopathy? Preliminary result of the analysis of a single-center cohort

Published:2023-10-05 Issue:3 Volume:20 Page:79-85
ISSN:2313-1497
Container-title:Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)
language:
Short-container-title:Hir. pozvonoč.

Author:

Gorbunov Aleksandr Igorevich¹^ORCID,Mushkin Mikhail Aleksandrovich²^ORCID,Kaumova Diana Airatovna³^ORCID,Muraviev Alexandr Nikolaevich⁴^ORCID,Gorelov Andrey Igorevich³^ORCID,Orlova Nadezhda Valerievna¹^ORCID,Gorelova Anna Andreevna⁵^ORCID

Affiliation:

1. Saint-Petersburg State Research Institute of Phthisiopulmonology 2–4 Ligovskii ave., Saint-Petersburg, 191036, Russia

2. Pavlov First Saint Petersburg State Medical University 6–8 L’va Tolstogo str., St. Petersburg, 194064, Russia

3. St. Petersburg State University 7–9 Universitetskaya emb., Saint-Petersburg, 199034, Russia

4. Saint-Petersburg State Research Institute of Phthisiopulmonology; Private University «Saint-Petersburg Medico-Social Institute» 2–4 Ligovskii ave., Saint-Petersburg, 191036, Russia; 72 lit. A Kondratievsky ave., St. Petersburg, 195272, Russia

5. Saint-Petersburg State Research Institute of Phthisiopulmonology; St. Petersburg State University 2–4 Ligovskii ave., Saint-Petersburg, 191036, Russia; 7–9 Universitetskaya emb., Saint-Petersburg, 199034, Russia

Abstract

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.

Publisher

Association of Spine Surgeons

Subject

Anesthesiology and Pain Medicine,Orthopedics and Sports Medicine,Surgery

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