Résumé
Les sténoses rachidiennes sont de localisation principalement lombaire, associées dans 10 à 20 % des cas à une sténose cervicale. L’association aux troubles vésicosphinctériens (TVS) varie entre 10 et 14 % des cas au niveau lombaire, jusqu’à 50 % des cas au niveau cervical. Il existe une grande variabilité de l’expression clinique des troubles urinaires qui semble corrélée à la sévérité de la sténose canalaire. Les anomalies cystomanométriques révélant des signes de neurovessies varient entre 50 et 80 % des cas. À travers une revue de la littérature, nous proposons d’analyser les données cliniques et cystomanométriques dans les sténoses rachidiennes lombaires et cervicales.
Abstract
Spinal stenosis are usually localized in the lumbar spine and associated with cervical stenosis in 10–20% of the cases. Ten to 14% patients with lumbar spine stenosis develop bladder and bowel symptoms and 50% of patients with cervical spine stenosis. There is a wide variety of urinary symptoms, which seem correlated to the severity of the spinal stenosis. Urodynamics study revealed neurogenic bladder in 50–80% cases. Through a review of literature, we propose analyzing urinary symptoms and urodynamics studies in lumbar and cervical spinal stenoses.
Références
Lane WA (1983) Case of spondylolisthesis associated with progressive paraplegia: laminectomy. Lancet I:991
Verbiest H (1955) Further experiences on the pathological influence of a developmental narrowness of the bony lumbar vertebral canal. J Bone Joint Surg Br 37-B(4):576–83
Szpalski M, Gunzburg R (2003) Lumbar spinal stenosis in the elderly: an overview. Eur Spine J 12(Suppl 2):S170–S5
Clinchot DM, Kaplan PE, Lamb JF (1998) Lumbar spinal stenosis in a elderly patient. J Gerontol 53(1):M72–M5
Roualdes B, Hubault A (1983) Les sténoses du canal lombaire. À propos de 50 observations de malades opérés. Rev Rhum 50(3):207–9
Goh KJ, Khalifa W, Anslow P, et al (2004) The clinical syndrome associated with lumbar spinal stenosis. Eur Neurol 52(4):242–9 [Epub 2004 Dec 1]
Guigui P, Delecourt C, Delhoume J, et al (1997) Severe motor weakness associated with lumbar spinal stenosis. A retrospective study of a series of 61 patients. Rev Chir Orthop Reparatrice Appar Mot 83(7):622–8
Deen HG Jr, Zimmerman RS, Swanson SK, Larson TR (1994) Assessment of bladder function after lumbar decompressive laminectomy for spinal stenosis: a prospective study. J Neurosurg 80(6):971–4
Prallet B, Camels P, Barral F, Alexandre C (1987) Dysurie d’effort au cours d’un syndrome du canal lombaire étroit acquis. Presse Med 16(36):1806–7
Fagius J, Westerberg CE (1976) Intermittent bladder paresis in the pseudoclaudication syndrome. J Urol 115:469–70
Amarenco G, Lacroix P, Kerdraon J, et al (1990) Intermittent spinal claudication and vesicosphincterian disorders. Ann Readapt Med Phys 33:183–6
Cansever T, Civelek E, Sencer A, et al (2007) Intermittent priapism in degenerativ lumbar spinal stenosis: case report. Turk Neurosurg 17(4):260–3
Kawaguchi Y, Kanamori M, Ishihara H, et al (2001) Clinical symptoms and surgical outcome in lumbar spinal stenosis patients with neuropathic bladder. J Spinal Disord 14(5):404–10
Coignard P, Kerdraon J, Le Claire G, et al (2008) Canal lombaire étroit et troubles vésicosphinctériens: à propos de 49 observations. Pelv Perineol 3:186–92
Sone A, Moda Y, Koyama K, Tanaka H (1994) Voiding dysfunctions in patients with lumbar spinal canal stenosis. Nippon Hinyokika Gakkai Zasshi 85(4):611–5
Perner A, Andersen JT, Juhler M (1997) Lower urinary tract symptoms in lumbar root compression syndromes: a prospective survey. Spine (Phila, PA 1976) 22(22):2693–7
Hellström PA, Tammela TL, Niinimäki TJ (1995) Voiding dysfunction and urodynamic findings in patients with lumbar spinal stenosis and the effect of decompressive laminectomy. Scand J Urol Nephrol 29(2):167–71
Bendaya S, Le breton F, Ginja S, Aymard A (2005) Intérêt du bilan urodynamique et électrophysiologique périnéal dans les canaux lombaires rétrécis et dégénératifs. Lett Med Phys Readapt 75:24–7
Inui Y, Doita M, Ouchi K, et al (2004) Clinical andradiologic features of lumbar spinal stenosis and disc herniation withneuropathic bladder. Spine (Phila, PA 1976) 29(8):869–73
Yamanishi T, Yasuda K, Sakakibara R, et al (1998) Detrusor overactivity and penile erection in patients with lower lumbar spine lesions. Eur Urol 34(4):360–4
Konno S, Kikuchi S, Tanaka Y, et al (2007) A diagnostic support tool for lumbar spinal stenosis: a self-administered, self-reported history questionnaire. BMC Musculoskelet Disord 8:102
Misawa T, Kamimura M, Kinoshita T, et al (2005) Neurogenic bladder in patients with cervical compressive myelopathy. J Spinal Disord Tech 18(4):315–20
Ando M (1990) Neurogenic bladder in patients with cervical cord compression disorders. Nippon Hinyokika Gakkai Zasshi 81(2):243–50
Mochida K, Shinomiya K, Ando M (1996) Urodynamic and electrophysiologic study of the urinary disturbances caused by cervical myelopathy. J Spinal Disord 9(2):141–5
Smith AY, Woodside JR (1988) Urodynamic evaluation of patients with spinal stenosis. Urology 32(5):474–7
Tammela TL, Heiskari MJ, Lukkarinen OA (1992) Voiding dysfunction and urodynamic findings in patients with cervical spondylotic spinal stenosis compared with severity of the disease. Br J Urol 70(2):144–8
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Le Breton, F., Bendaya, S., Jousse, M. et al. Urodynamiques dans les sténoses rachidiennes: revue de la littérature. Pelv Perineol 5, 28–32 (2010). https://doi.org/10.1007/s11608-010-0287-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11608-010-0287-4