Managing bowel and bladder impairments in sacral chordoma patients: a case-based approach.
Spinal Cord Ser Cases 2018;
3:17094. [PMID:
29423299 DOI:
10.1038/s41394-017-0016-9]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 09/15/2017] [Accepted: 09/21/2017] [Indexed: 11/09/2022] Open
Abstract
Introduction
Chordomas are primary bone tumors that occur in the axial spine and most commonly in the sacrum. Because of their location, chordomas can affect bowel and bladder continence resulting in either an upper or a lower motor neuron functional pattern.
Case presentation
We present two cases describing chordoma's impact on bowel and bladder function and the management plan used for improvement.
Discussion
The accurate identification of an upper or lower motor neuron pattern in the setting of chordoma aims to significantly improve management of bowel and bladder impairment.
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