ABSTRACT

INTRODUCTION. Spinal cord injuries are a common problem, especially at the current time due to the conduct of hostilities. Patients in this group and their attending physicians are in the dark about the prospects for recovery.

AIM. To increase the effectiveness of treatment and rehabilitation of patients in any period of spinal cord injury.

MATERIALS AND METHODS. The research work was carried out in St. Petersburg State Medical Institution St. Luke's Clinical Hospital at the Department of Medical Rehabilitation. The study is planned to include 100 male and female patients, the age of patients over 18 years old, the diagnosis: traumatic spinal cord injuries at any level.

RESULTS AND DISCUSSION. Possible methods of functional and instrumental diagnostics for predicting recovery in patients with spinal injury are considered. The article analyzes neurophysiological methods for studying the function of the spinal cord and functional and instrumental methods for evaluating the function of the genitourinary system.

CONCLUSION. The experience of using the techniques is compiled, the most common changes in the results of studies in patients with spinal cord injury in the corresponding phase of spinal injury are identified, the possibilities of using the results to build a prognosis for the restoration of neurological deficits and to determine the timing of the stage of spinal shock in patients are analyzed.

KEYWORDS: spinal cord injury, spinal shock, neurophysiological diagnosis, electrospinogram, constant potential of the spinal cord, somatosensory evoked potentials, motor evoked potentials, transcranial magnetic stimulation, electroneuromyography, complex urodynamic study, bulbocavernous reflex, F-wave

For citation: Valchuk S.N., Zabirov S.Sh., Butko D.Yu. . Determining the Prognosis of Recovery in Patients with Combat Traumatic Spinal Cord lnjury. Comorbidity Neurology. 2024; 1 (4): 52-58. https://doi.org/10.62505/3034-185x-2024-1-4-52-58

For correspondence: Svetlana N. Valchuk, Neurologist, St. Luke's Clinical Hospital, Graduate Student, Saint Petersburg State Pediatric Medical University, Saint-Petersburg, Russia, e-mail: svetasvetavalchuk@mail.ru

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ADDITIONAL INFORMATION

Svetlana N. Valchuk, Neurologist, St. Luke's Clinical Hospital; graduate student, Saint-Petersburg State Pediatric Medical University, SaintPetersburg, Russia. E-mail: svetasvetavalchuk@mail.ru. ORCID: https://orcid.org/0000-0001-8866-9611

Sergey Sh. Zabirov, Head, St. Luke's Clinical Hospital; assistant, SaintPetersburg State Pediatric Medical University, Saint-Petersburg, Russia. E-mail: zabirus@mail.ru. ORCID: https://orcid.org/0000-0001-6348-0759

Dmitriy Yu. Butko, Dr. Sci. (Med.), Professor, Director of Medical Rehabilitation and Sport Medicine Department, Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia. E-mail: prof.butko@mail.ru. ORClD: https://orcid.org/0000-0001-6284-0943

Author contributions. All authors confirm the compliance of their authorship, according to international lCMJE criteria (all authors made a significant contribution to the development of the concept, research and preparation of the article, read and approved the final version before publication). Valchuk S.N. – diagnostic patients, information processing; Zabirov S.Sh. – searched for suitable literature; Butko D.Yu. – correcting the text in accordance with the basic requirements.

Funding. This study was not supported by any external sources of funding.

Disclosure. The authors declare that they haven`t competing interests.

The content is available under the Creative Commons Attribution 4.0 License.

©2024. Svetlana N. Valchuk, Sergey Sh. Zabirov, Dmitriy Yu. Butko