|
KMID : 1189320220160020204
|
|
Asian Spine Journal
2022 Volume.16 No. 2 p.204 ~ p.211
|
|
|
Incidence of Renal Tract Abnormalities on Ultrasonography in Patients with Spinal Cord Injury: A Retrospective Pilot Study of a Military Cohort Undergoing Long-Term Institutional Rehabilitation
|
|
Saini Mandeep
Kataruka Mohit
Gogoi Biraj
Sharma Vyom
Madan Gurdarshdeep Singh
Sood Chetan
|
|
|
Abstract
|
|
|
Study Design: Retrospective pilot study.
Purpose: To assess the incidence of renal tract abnormalities using ultrasonography (US) in a military cohort with traumatic spinal cord injury (TSCI) at a tertiary level spinal cord injury center.
Overview of Literature: Neurogenic bladder in TSCI patients results in significant urological morbidity. There is lack of data for these patients during the first 18 months of long-term rehabilitation in an institutional setting.
Methods: We retrospectively reviewed patient records to collect data on demographic characteristics, injury level, injury severity, time since injury, bladder management methods (such as an indwelling catheter [IC], clean intermittent catheterization [CIC], or self-voiding [S]); we correlated these data with the findings of the renal tract US.
Results: The study included 73 out of 81 male participants. The mean patient age was 29.99 years; the study group included 34.2% tetraplegics and 65.8% people with paraplegia. The time since injury was 6?12 months for 42.5% of the subjects and 12?18 months for 57.5% of the subjects. A normal US scan was recorded in 65.7% patients, and bladder trabeculation was the commonest finding in 15.1% of the subjects, followed by hydronephrosis (HDN) in 12.3%, and renal calculus and atrophy in 1.3% participants each. We found 22.22% of the IC group participants had higher US abnormalities than those in the reflex voiding group (statistically non-significant difference, p=0.7). Trabeculations (21.4%) and HDN (19%) were more common in those who had sustained the injury 12?18 months previously as compared to that in those who had injured themselves 6?12 months previously (p=0.04). The proportion of patients who had a normal US scan was higher in the group who sustained the injury 6?12 months previously versus those who had sustained the injury 12?18 months previously; the difference was statistically significant (p=0.02). There was no significant (p=0.72) correlation in the bladder management method, injury level, and renal tract abnormalities between the groups.
Conclusions: This retrospective study shows that 65% of TSCI participants had no renal tract abnormality on US scan and bladder trabeculation ruled out as the most common finding. Long-term supervised rehabilitation may help achieve good renal quality of life; however, further prospective trials are required on this subject.
|
|
|
KEYWORD
|
|
|
Spinal cord injuries, Renal tract ultrasonography, Institutional rehabilitation, Neurogenic bladder, Military soldier
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|