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Related Concept Videos

Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Comparing those Most Satisfied Versus Least Satisfied Following Surgery for Cervical Spondylotic Myelopathy: Are there Differences in Baseline Characteristics?

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Predictors of long-term myelopathy relief in patients with moderate to severe cervical spondylotic myelopathy following surgery: a Spine CORe™ analysis of QOD data.

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Urinary control in cervical myelopathy: does it improve postsurgery? A Quality Outcomes Database study.

Saman Shabani1, Raj Swaroop Lavadi2, Nitin Agarwal2,3,4

  • 11Department of Neurological Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Journal of Neurosurgery. Spine
|February 28, 2025
PubMed
Summary

Nearly 78% of patients with cervical spondylotic myelopathy (CSM) experienced improved urinary function after surgery. Women showed a higher likelihood of urinary function recovery, with similar patient satisfaction regardless of improvement.

Keywords:
cervical spondylotic myelopathymodified Japanese Orthopaedic Associationpatient-reported outcome measuresurinary function

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Area of Science:

  • Neurosurgery
  • Urology
  • Spine Surgery

Background:

  • Cervical spondylotic myelopathy (CSM) frequently causes urinary dysfunction, impacting micturition.
  • Evaluating surgical outcomes for urinary dysfunction in CSM is crucial for patient prognosis.

Purpose of the Study:

  • To assess urinary dysfunction, long-term prognosis, and recovery after surgical intervention in CSM patients.
  • To identify factors influencing urinary function improvement post-surgery.

Main Methods:

  • Analysis of CSM cases from the Quality Outcomes Database SpineCORe study.
  • Assessment of urinary control using the modified Japanese Orthopaedic Association (mJOA) urinary function subscore.
  • Definition of improvement as a ≥1-point increase in mJOA urinary function subscore at 2-year follow-up.

Main Results:

  • Of 249 patients with baseline urinary dysfunction, 77.5% showed improvement at 2 years.
  • Women demonstrated a higher rate of urinary function improvement compared to men (54.9% vs. 45.1%).
  • Patients with improved urinary function had lower baseline mJOA scores and similar postoperative satisfaction rates.

Conclusions:

  • Approximately 78% of CSM patients with urinary dysfunction achieve functional improvement post-surgery.
  • Female sex is associated with a greater likelihood of urinary function recovery.
  • Surgical outcomes and patient satisfaction are comparable between those with and without urinary function improvement.