Follow-up of Renal Function and Complication in Spinal Cord Injuries

Lim, Seoung Hyun; Park, Won Hee

Abstract

A clinical evaluation was made in 168 spinal cord injuries who visited the department of urology in Korea Veterans Hospital and received follow up studies during the period from May, 1986 to May, l987. The results were as follow; l. 82 cases(51.8%) had thoracic lesions, 55(32.7%)cervical and 26(15.5%) lumber. 104 cases (61.99%) were complete and 64(38.1%) incomplete. 2. The cause of the spinal cord injury was falldown( 45.2%), gunshot(29.l%),traffic accident(25.O%) and etc. 3. 12 cases died during the follow-up at our hospital. The cause of death was renal failure (25%) and septicemia from bed sore(25%). 4. In view of complications according to voiding pattern, there were no difference in cases with renal stone, but high incidences of bladder stone, chills and fever, V-U; reflux, bacteriuria and epididymitis in the group having the indwelling catheter 5. Factors associated with a statistically. significant reduction in Ccr included renal calculi, chills and fever and V-U reflux, but other factors not found to be statistically significant included years since injury. bladder calculi, bacteriuria and extent of injury.