지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 847 - 853 (7page)
- DOI
- 10.14245/ns.2142252.126
이용수
초록· 키워드
오류제보하기
Objective: The mechanisms of neurogenic bowel dysfunction (NBD) and neurogenic bladder (NB), which are major consequences of spinal cord injury and occasionally degenerative lumbar disease. The following in patients with cauda equina syndrome who underwent posterior decompression surgery was investigated: (1) the preoperative prevalence of NBD and NB, measured using the Constipation Scoring System (CSS) and International Prostate Symptoms Score (IPSS); (2) the degree and timing of postoperative improvement of NBD and NB.
Methods: We administered the CSS and IPSS in 93 patients before surgery and at 1, 3, 6, and 12 months postoperatively. We prospectively examined patient characteristics, Japanese Orthopaedic Association (JOA) score, and postoperative improvements in each score.
Results: The prevalence of symptomatic defecation and urinary symptoms at admission were 37 patients (38.1%) and 31 patients (33.3%), respectively. Among the symptomatic patients with defecation problems, 12 patients had improved at 1 month, 13 at 3 months, 14 at 6 months, and 13 at 12 months postoperatively. Among the symptomatic patients with urinary problems, 5 patients improved at 1 month, 11 at 3 months, 6 at 6 months, and 10 at 1 year postoperatively. Comparing patients with improved versus unimproved in CSS, the degree of JOA score improvement was a significant prognosis factor (p<0.05; odds ratio, 1.05).
Conclusion: The prevalence of symptomatic defecation and urinary symptoms in patients with cauda equina syndrome was 38.1% and 33.3%, respectively. Decompression surgery improved symptoms in 30%?50%. These effects were first observed 1 month after the operation and persisted up to 1 year.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Hanson RW / 1976 / Sexual loss in relation to other functional losses for spinal cord injured males / Arch Phys Med Rehabil 57:291~293
Tsai CH / 2010 / The evaluation of bladder symptoms in patients with lumbar compression disorders who have undergone decompressive surgery / Spine 35:E849~E854
Kawaguchi Y / 2001 / Clinical symptoms and surgical outcome in lumbar spinal stenosis patients with neuropathic bladder / J Spinal Disord 14:404~410
Deen HG Jr / 1994 / Assessment of bladder function after lumbar decompressive laminectomy for spinal stenosis : a prospective study / J Neurosurg 80:971~974
Sharr MM / 1976 / Lumbar spondylosis and neuropathic bladder : investigation of 73 patients with chronic urinary symptoms / Br Med J 1:695~697
Tsai CH / 2010 / The evaluation of bladder symptoms in patients with lumbar compression disorders who have undergone decompressive surgery / Spine 35:E849~E854
Kawaguchi Y / 2001 / Clinical symptoms and surgical outcome in lumbar spinal stenosis patients with neuropathic bladder / J Spinal Disord 14:404~410
Deen HG Jr / 1994 / Assessment of bladder function after lumbar decompressive laminectomy for spinal stenosis : a prospective study / J Neurosurg 80:971~974
Sharr MM / 1976 / Lumbar spondylosis and neuropathic bladder : investigation of 73 patients with chronic urinary symptoms / Br Med J 1:695~697
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