A Prospective Study of Clinicoradiologic-Urodynamic Correlation in Patients with Tuberculosis of the Spine.

Correlation magnetic resonance imaging spinal tuberculosis urodynamic study

Journal

Indian journal of orthopaedics
ISSN: 0019-5413
Titre abrégé: Indian J Orthop
Pays: Switzerland
ID NLM: 0137736

Informations de publication

Date de publication:
Historique:
entrez: 16 7 2019
pubmed: 16 7 2019
medline: 16 7 2019
Statut: ppublish

Résumé

Involvement of spinal cord in spinal tuberculosis (TB) has been associated with bladder disturbances on which literature is scarce. The present study aimed at evaluating the urodynamic profile, its correlation with clinical and radiological features, and the prognosis with treatment in these patients. Thirty patients of spinal TB were prospectively evaluated clinically, radiologically, and urodynamically in this single center prospective study. All patients underwent urodynamic assessment at presentation; and those with bladder dysfunction on initial urodynamics were followed with sequential testing at 3, 6, and 12 months. Patients were divided into two groups on the basis of the absence (Group 1, Significant bladder comorbidity is associated with spinal TB and its presence can be recognized as a poor prognostic factor. Urological morbidity is strongly linked to the nerve root and posterior element involvement; reduction in disc height; and end plate erosion. Clinical/neurological improvement correlates with marked radiological and urological improvement.

Identifiants

pubmed: 31303668
doi: 10.4103/ortho.IJOrtho_692_17
pii: IJOrtho-53-525
pmc: PMC6590012
doi:

Types de publication

Journal Article

Langues

eng

Pagination

525-532

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Roop Singh (R)

Department of Orthopaedic Surgery, Paraplegia and Rehabilitation, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India.

Milind Tanwar (M)

Department of Orthopaedic Surgery, Paraplegia and Rehabilitation, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India.

Santosh Singh (S)

Department of Urology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India.

Rajesh Kumar Rohilla (RK)

Department of Orthopaedic Surgery, Paraplegia and Rehabilitation, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India.

Classifications MeSH