11 -2 (76) 2025 - Iskandarov M.M., Indiaminov S.I. - ANATOMICAL AND PHYSIOLOGICAL FEATURES OF THE SPINE AND SPINAL CORD AND THE NATURE OF SPINAL CORD INJURIES IN CHILDREN AND ADOLESCENTS
ANATOMICAL AND PHYSIOLOGICAL FEATURES OF THE SPINE AND SPINAL CORD AND THE NATURE OF SPINAL CORD INJURIES IN CHILDREN AND ADOLESCENTS
Iskandarov M.M. - EMU-Euro Asian Multidisciplinary University, Ministry of Health of the Republic of Uzbekistan
Indiaminov S.I. - Republican Scientific and Practical Center for Forensic Medical Examination Ministry of Health Uzbekistan
Tilyakov A.B. - Republican Center for Children's Orthopedics of the Ministry of Health of the Republic of Uzbekistan
Resume
Anatomical and physiological features of the spinal column and spinal cord in children and adolescents, which influence the nature of injuries to these structures, have been identified. It is noted that the anatomy and biomechanics of a child's spine begins to approach those of an adult at the age of 8-10 years, and therefore injuries to these structures in children under 8 years of age have their own morphological characteristics compared to injuries to the spine of children older than this age. With age and the development of physiological curves, the number of vertebral injuries decreases. In addition, the immature spine in children has great elasticity and movement diagnosis. Therefore, fractures or dislocations due to injuries are not always detected in children. In general, spinal cord injuries in children are most often (40.32%) observed in the age groups of 5-9 years, in which spinal cord injuries predominate, and in adolescents, the thoracic and lumbar regions are more injured. Injuries to the structures of the spine in children and adolescents may occur in situations that are inadequate to the typical mechanisms of injury. In addition, fractures in children and adolescents are most often localized in several parts of the spine, and in adults such injuries are 2 times less common than in children. The noted features of SCI in children and adolescents require special attention during early diagnosis, as well as when planning a strategy treatments aimed at optimal functional results and reduction of long-term complications. The location, nature, and extent of injuries to the spinal column and spinal cord in children and adolescents must be taken into account when substantiating the mechanism of injury, as well as when medico-legally assessing the severity of injuries to these structures.
Key words: children and adolescents, spine, spinal cord, anatomical and physiological features, injury, character, meaning.
First page
59
Last page
64
For citation:Iskandarov M.M., Indiaminov S.I., Tilyakov A.B. - ANATOMICAL AND PHYSIOLOGICAL FEATURES OF THE SPINE AND SPINAL CORD AND THE NATURE OF SPINAL CORD INJURIES IN CHILDREN AND ADOLESCENTS//New Day in Medicine 2(76)2025 59-64 https://https://newdayworldmedicine.com/en/new_day_medicine/2-75-2025
List of References
- Андрушко Н.С. Диагностика компрессионных переломов тел позвонков у детей //Компрессионные переломы тел позвонков у детей / Н.С. Андрушко, A.B. Распопина. – М., 1977; 30-42 стр.
- Виссарионов С.В., Попов И.В. К вопросу о нестабильности позвоночника: терминологические споры //Травматология и ортопедия России. 2007;2:94-97.
- Волков М.В. Развитие позвоночника у ребенка и типы осанки //Детская ортопедия / М.В. Волков, В.Д. Дедова. – М., 1980; 31-33 стр.
- Гусев Е.И., Коновалов А.Н., Бурд Г.С. Неврология и нейрохирургия. /Медицина, 2020; 244-254 стр.
- Луник А.А. К вопросу о классификации и лечении позвоночно-спинногомозговой травмы //Актуальные вопросы вертебромодулярной нейрохирургии. – Балаково, 2003; 161-167 стр.
- Дьячкова С.Я. и др. Методические рекомендации для специалистов, участвующих в организации здоровье сбережения в образовательных учреждениях и в скрининговых осмотрах дошкольников, учащихся и студентов / под общ. ред. С. Я Дьячкова, В. В Андреева, М.М Киньшина, Т.П. Кораблева Воронежский ГУ. – Воронеж, 2011; 327 стр.
- Баирова Г.А.. Повреждения позвоночника и спинного мозга. В кн: Травматология детского возраста. Под.ред. Г.А. Баирова. Л. «Медицина», 1970, гл.9. с.148-160
- Скрябин Е.Г., Буксеев А.Н., Зотов П.Б., Курмангулов А.А., Аксельров М.А. Повреждения позвоночника у пациентов детского возраста с множественной и сочетанной травмой //Политравма. 2022;1:38-42.
- Слынько Е.И., Нехлопочин А.С., Вербов В.В. Классификация травматических повреждений шейного отделе позвоночно читательница на субаксиональном уровне. Часть 1. Общий принципы //Украинский нейрохирургический журнал. 2019;25(3):12-26.
- Томилов А.Б., Кузнецова И.Л. Особенности переломов позвоночника у детей и подростков. //Вестнике травматологии и ортопедии Урала. 2012;1-2:50-55.
- Юхнова О.М., Пономарева Г.А. Интранатальные и постнатальные повреждения позвоночника у новорожденных, детей и подростков. Азов, 2014; 120 стр.
- Cunha N. S. C. et al. Pediatric spinal cord injury: a review //Children. 2023;10(9):14-56.
- Dowdell J. et al. Postoperative spine infection: diagnosis and management //Global Spine Journal. 2018;8(4):37-43.
- Fogel L.K., Porajenie spinnogo mozga u detey i molodыx lyudey, Mac Keith Press, London, 2014
- Huisman TA, Wagner MW, Bosemani T, Tekes A, Poretti A. Pediatric spinal trauma. //J Neuroimaging. 2015 May-Jun;25(3):337-53.
- Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group. Cervical spine injury patterns in children. //Pediatrics. 2014 May;133(5):1179-88.
- Matthew J. Hagan, Joshua Fele, Felicia Sun, Owen P. Leary, Ankush Bajaja, Samika Kanekar, Adetokunbo A. Oyelese, Albert E. Telfeyan, Zia L. Gokaslan, Jared S. Fridley. Spinal cord injury in adults and children. //Interdisciplinary Neurosurgery: Advanced Techniques and Patient Management 29 (2022).
- Meng Y.F. et al. Prognosis of traumatic spinal cord injury in children: follow-up of 86 patients //Chinese journal of traumatology. 2023;26(1):14-19.
- Mortazavi M.M., Dogan S., Civelek E., et al. Pediatric multilevel spine injuries: an institutional experience //Childs Nerv. Syst. 2011;27(7):1095-1100.
- Muller A. Minimally invasive approach versus traditional open approach for one level posterior lumbar intrepidly fusion //Minim invasive Neurosurg 2010;53(1):21-24.
file
download