Abstract:
STUDY DESIGN:Retrospective study. OBJECTIVES:The purpose of this investigation was to review the outcomes and safety of retrograde ureteroscopic laser lithotripsy (URS) for the treatment of urolithiasis in the spinal cord injury (SCI) population. SETTING:Virginia, USA. METHODS:All patients with SCI who underwent URS with holmium:YAG laser lithotripsy for urolithiasis over a 15-year period were identified. Stone size, location and number at presentation were recorded. Information regarding patient characteristics, intra-operative complications, surgical efficacy, stone clearance, peri-operative complications, and follow-up stone events was collected and analyzed. RESULTS:A total of 67 URS procedures were performed on 29 SCI patients during the study period with an average follow-up of 3.4 years. Patients had an average of 2.3 ipsilateral ureteroscopies. The majority (85.1%) used indwelling catheters for long-term bladder management, and complete stone clearance after the first procedure was 34.3%. Of the 44 cases with residual stones >4 mm, 20 (45.5%) were secondary to technical or procedural limitations. The intra-operative complication rate was comparable to non-SCI studies at 1.5%, but peri-operative complications were significantly higher at 29.9% with the majority due to urosepsis. Factors associated with peri-operative complications include chronic obstructive pulmonary disease, motor incomplete injuries and lack of a pre-operative ureteral stent. CONCLUSION:URS in the SCI population is an effective treatment for ureteral or renal stones but may be associated with greater risks and reduced efficacy.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Wolfe T,Klausner AP,Goetz LL,King AB,Hudson T,Gater DRdoi
10.1038/sc.2012.86subject
Has Abstractpub_date
2013-02-01 00:00:00pages
156-60issue
2eissn
1362-4393issn
1476-5624pii
sc201286journal_volume
51pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:To assess the influence of various surfaces on the gait characteristics of ambulatory participants with incomplete spinal cord injury (SCI) as compared to data from able-bodied participants. SETTING:A tertiary rehabilitation center and communities. METHODS:Seventy part...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-019-0282-4
更新日期:2019-09-01 00:00:00
abstract:STUDY DESIGN:The study was designed as a single-arm clinical trial. OBJECTIVES:To investigate the therapeutic effects of detrusor botulinum toxin A (BoNT-A) treatment in patients with different levels of spinal cord injury (SCI) and types of detrusor sphincter dyssynergia (DSD). SETTING:Patients with chronic suprasac...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sc.2010.179
更新日期:2011-05-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional. OBJECTIVES:To examine patterns of participation in activities of daily living (ADL) and fitness-related factors associated with these patterns among individuals with spinal cord injury (SCI). SETTING:Centre for Health Promotion and Rehabilitation at McMaster University, School of Kinesio...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2008.160
更新日期:2009-07-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey. OBJECTIVES:To document bowel care practices of chronic spinal cord injury (SCI) patients in Pakistan. SETTINGS:Outpatient Department, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan. METHODS:A total of 50 adult patients (18-65 years) with SCI of duration...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.46
更新日期:2010-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review. OBJECTIVES:Each type of intramedullary spinal cord tumor (IMSCT) has specific anatomical and pathological features visible on magnetic resonance (MR) imaging. The purpose of this study was to investigate the accuracy of preoperative IMSCT diagnosis using our diagnostic chart of...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.127
更新日期:2014-10-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:To determine the prevalence and potential risk factors of vitamin D deficiency and insufficiency among Malaysian children with spina bifida. SETTING:Four Malaysian tertiary hospitals. METHODS:Children with spina bifida were assessed for potential demographic, disease sev...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-020-0441-7
更新日期:2020-09-01 00:00:00
abstract:STUDY DESIGN:A prospective, immunohistochemical study of bladder biopsies taken from spinal cord injury (SCI) patients. OBJECTIVES:To investigate whether cytokeratin 14 immunostaining may be useful to detect early squamous metaplasia in bladder biopsies from patients with SCI. SETTING:Southport, United Kingdom. METH...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101464
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:A field study was conducted in 40 patients with multiple sclerosis (MS) by comparing their residual urine volumes with the Kurtzke Functional Systems Scales for pyramidal (PFS) or bladder functions (BFS). OBJECTIVES:To determine whether raised residual urine volumes necessitating intermittent self cathete...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101022
更新日期:2000-07-01 00:00:00
abstract:STUDY DESIGN:Case report of a 7-month-old boy, who developed acute transverse myelitis after diphtheria-tetanus-pertussis immunization. OBJECTIVES:To describe the clinical course of acute transverse myelitis in an infant and to review the literature regarding the association of acute transverse myelitis and vaccinatio...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101879
更新日期:2006-11-01 00:00:00
abstract:STUDY DESIGN:Observational study. OBJECTIVES:Thoraco-abdominal endovascular aortic aneurysm repair (TAEVAR) can be used to treat patients with extensive and complex aortic disease, however, at the risk of spinal cord ischemia (SCI). The aim of this follow-up study was to evaluate the life satisfaction in patients with...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.163
更新日期:2015-03-01 00:00:00
abstract:STUDY DESIGN:An in vivo study using a spinal cord compression model in rats. OBJECTIVES:To evaluate the effect of adenosine on thermal hyperalgesia after spinal cord injury (SCI). SUMMARY OF BACKGROUND DATA:After SCI, some patients suffer dysesthesia that is unresponsive to conventional treatments. We previously esta...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2009.194
更新日期:2010-09-01 00:00:00
abstract:STUDY DESIGN:Prospective study. OBJECTIVES:To investigate whether preoperative and postoperative changes of signal intensity (SI) and transverse area (TA) of the spinal cord reflect the surgical outcome in patients with cervical spondylotic myelopathy (CSM). SETTING:The Second Hospital of Tangshan, Tangshan, Hebei, C...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.204
更新日期:2015-06-01 00:00:00
abstract:STUDY DESIGN:A prospective cohort with acute tetraplegia. OBJECTIVES:Obstructive sleep apnoea (OSA) is common within weeks of tetraplegia. This study aimed at determining the feasibility of auto-titrating continuous positive airway pressure (CPAP) to treat OSA after acute tetraplegia. SETTING:The Victorian Spinal Cor...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2009.56
更新日期:2009-12-01 00:00:00
abstract:STUDY DESIGN:A biomechanical unitary classification of spinal injuries is proposed. OBJECTIVE:To present an evaluation of spinal injuries based on the essential traumatic spinal mechanisms: axial deformation, torsion, translation and combined mechanisms in connection with the concept of the stabilizing axial spinal pi...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101468
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:To create the International Spinal Cord Injury (SCI) Female Sexual and Reproductive Function Basic Data Set within the International SCI Data Sets. SETTING:An international working group. METHODS:The draft of the data set was developed by an international working group consisting of members appointed by the...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.7
更新日期:2011-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective cross-sectional study. OBJECTIVES:To investigate the characteristics of posttraumatic symptomatic syringomyelia after spinal cord injury (SCI). SETTING:Swiss Paraplegic Centre, Nottwil, Switzerland. METHODS:The patient database was screened for patients diagnosed with posttraumatic syringo...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.218
更新日期:2016-06-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional, correlational design. OBJECTIVES:To examine the effects of individual demographics, activities of daily living, social support, and self-concept on depressive symptoms in people with spinal cord injury (SCI). SETTING:A convenience sample of 135 adults with SCI was recruited from medical ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.158
更新日期:2015-05-01 00:00:00
abstract:AIM OF STUDY:Clean intermittent self catheterisation (CISC) is commonly used by patients with impaired bladder emptying. But how to manage acute false passages in patients on CISC? METHODS:Six patients experienced difficulty when performing intermittent catheterisation. Urethrocystoscopy demonstrated a new false passa...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100789
更新日期:1999-03-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional observational study. OBJECTIVES:To examine variables associated with the development of pressure ulcers in subjects with spinal cord injury (SCI). SETTING:SCI patients under coverage of the State Welfare Organization of Iran. METHODS:Mobile rehabilitation teams gathered data from 20 of t...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2012.75
更新日期:2012-12-01 00:00:00
abstract:STUDY DESIGN:The study is conducted on the basis of comparative-repeated measures. OBJECTIVES:The objective of this study is to assess the reliability of non-invasive cardiac output (CO) measurements in individuals with tetraplegia (TP) at rest and during exercise using Innocor, and to test the hypothesis that CO meas...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2010.173
更新日期:2011-05-01 00:00:00
abstract:STUDY DESIGN:A case-control study evaluating seminal zinc level in spinal cord injury (SCI) patients. OBJECTIVES:Patients with SCI have neurological prostate dysfunction. There are only some indications in the literature that seminal zinc level may be lower in these patients. Seminal zinc is mainly produced by the pro...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.122
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured people's lives. One aspect is sexual functioning. The purpose of this study is to identify the sexual problems of women with SCI and determine their level of knowledge about sexuality. METHODS:Twenty-six women with SCI for...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2013.161
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND CONTEXT:Spondyloarthropathy has been described radiographically in patients following paralysis from spinal cord trauma. Onset of these findings after cauda equina syndrome have not been reported previously. Furthermore, the magnetic resonance documentation of its early evolution has not been recorded. PURP...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.190
更新日期:2015-03-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVES:To assess improvement in volitional motor function after SCI, using The Spinal Cord Ability Ruler (SCAR) as a metric and investigate participant characteristics and recovery of motor functioning. SETTING:A highly-specialized SCI rehabilitation unit (Spinal Cord Injury Ce...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-019-0307-z
更新日期:2019-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:Spinal cord injury is a known risk factor for bladder cancer. The risk of bladder cancer has been reported at 16-28 times higher than the general population. Earlier studies have identified indwelling catheters as risk factors. We examined the characteristics of bladder can...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2009.118
更新日期:2010-03-01 00:00:00
abstract:DESIGN:Single cases. OBJECTIVE:To compare the effects of manually assisted locomotor training in paraplegic patients with the automated training by a driven gait orthosis. SETTING:ParaCare, University Hospital Balgrist in Zurich, Switzerland. METHODS:Treadmill training with manual assistance and by a driven gait ort...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101154
更新日期:2001-05-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVES:To describe a case of suprascapular nerve entrapment (SNE) in a patient with a spinal cord injury (SCI) as a cause of shoulder pain. SETTING:Physical Medicine and Rehabilitation Institute, Nancy, France. REPORT:Six months after the occurrence of acute paraplegia T9 ASIA, a 45-yea...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.89
更新日期:2011-06-01 00:00:00
abstract::The aim of the multicentre study entitled 'Description and Documentation of Painful States in Spinal Cord Injury Patients', in addition to the description and documentation of chronic pain and stressful dysaesthesiae in SCI patients, was the search for correlations between these symptoms and medical and psychosocial v...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1038/sj.sc.3100411
更新日期:1997-07-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional study with comparison group. OBJECTIVES:To examine the effect of rugby training on the blood antioxidant capacity in able-bodied and wheelchair rugby players with tetraplegia. SETTING:Poland. METHODS:Four groups of subjects participated in the study: sedentary able-bodied males (group ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.134
更新日期:2012-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective multicenter study. OBJECTIVES:To analyze the predictive factors for postoperative ambulatory recovery in paretic non-ambulatory patients with metastatic spinal cord compression (MSCC). SETTING:Japan. METHODS:Eighty-two consecutive patients (74.4% men; mean age, 66.2 years) who could not wa...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.145
更新日期:2017-05-01 00:00:00