Turkish Journal of Physical Medicine and Rehabilitation 2002 , Vol 48 , Num 1
Travmatik Spinal Kord Yaralanmalı Hastalarda Üriner Taş Analizi
Gülümser Aydın 1 ,Işık Keleş 2 ,Sibel Özbudak Demir 3 ,Meryem Demir 4
1 Kırıkkale Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırıkkale
2 Kırıkkale Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırıkkale, Türkiye
3 Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara, Türkiye
4 Tokat Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Tokat

Analysis of Urinary Stone in Patients With Spinal Cord Injury It is important to determine the possible risk factors for urinary stone disease in prevention and the management of patients with urinary stone. Analysis of the urinary stone is useful to define those risk factors. The aim of this study was to analyse the composition of urinary stones in patients with spinal cord injury and to demonstrate the possible mechanisms responsible for stone formation. The urinary stones of 8 male patients with spinal cord injury were investigated with X-ray diffraction method. The ratio of using an indwelling catheter was found to be 75% in the patients. Urease positive bacteria were isolated by urinary cultures in all patients and pH of the urine was found to be alkali in 68.75 % of the patients. The most common compound was detected to be calcium oxalate in 62.5% of the patients, calcium phosphate in 25% of the patients and magnesium ammonium phosphate (MAP) in 12,5% of the patients. Infection stone ratio was 37,5%. In conclusion the ratio of infection stones (calcium phosphate and magnesium ammonium phosphate) in patients with spinal cord injury was found to be greater than in normal population. This result may be explained with the fact that use of indwelling catheter and urinary tract infections with urease positive bacteria are more frequent in those patients. 

Keywords : Spinal cord injury, urinary stone, analysis