• Home
  • NEW DAY MEDICINE
  • 4 (90) 2026
  • 58 -4 (90) 2026 - Shamsiev A.M., Aliyev B.P. - CLINICAL AND ANATOMICAL CHARACTERISTICS OF CONGENITAL SPINAL HERNIAS IN CHILDREN BASED ON MODERN IMAGING METHODS

58 -4 (90) 2026 - Shamsiev A.M., Aliyev B.P. - CLINICAL AND ANATOMICAL CHARACTERISTICS OF CONGENITAL SPINAL HERNIAS IN CHILDREN BASED ON MODERN IMAGING METHODS

CLINICAL AND ANATOMICAL CHARACTERISTICS OF CONGENITAL SPINAL HERNIAS IN CHILDREN BASED ON MODERN IMAGING METHODS

Shamsiev A.M. - Samarkand State Medical University

Aliyev B.P. - Samarkand State Medical University

Alieva F.B. - Samarkand State Medical University

Resume

The article presents the results of an analysis of the diagnosis of congenital spinal hernias in 384 children aged from several hours of life to 1 year who were treated at the specialized pediatric surgical clinic of Samarkand State Medical University during 2000–2024. It was found that the most common forms of the defect were meningomyelocele (78.9%), meningocele (18.5%), and myeloschisis (2.6%). The leading clinical signs included the presence of hernial protrusion, skin changes, neurological disorders, and associated hydrocephalus. Pathological changes of the hernial sac skin were observed in 77% of patients, motor disorders in 74.2%, and pelvic organ dysfunction in 64.3%. The most common localization of the defect was the lumbosacral (46.8%) and lumbar (34.8%) regions. Hydrocephalus was detected in 51.3% of patients. Based on the comprehensive analysis of clinical data and instrumental imaging methods, there is a need to develop a new stepwise diagnostic algorithm, which should include clinical-neurological examination, ultrasound, spinal radiography, MRI, and MSCT/CT when indicated.

Keywords: congenital spinal hernias, children, diagnostics, ultrasound, MRI, CT, MSCT, meningomyelocele, hydrocephalus.

First page

406

Last page

412

For citation:Shamsiev A.M., Aliyev B.P., Alieva F.B. - CLINICAL AND ANATOMICAL CHARACTERISTICS OF CONGENITAL SPINAL HERNIAS IN CHILDREN BASED ON MODERN IMAGING METHODS//New Day in Medicine 4(90)2026 406-412 https://newdayworldmedicine.com/en/new_day_medicine/4-90-2026

List of References

  1. Гайбиев А.А., Файзимуродов Ф.Т., Вязикова Н.Ф. Factors influencing the formation of congenital spinal hernias combined with brain malformations. World Bulletin of Public Health. 2024;36:6–12.
  2. Рошаль Л.М., Разумовский А.Ю., Морозов Д.А., Юсупов Ш.А. Профессор Азамат М. Шамсиев — выдающийся ученый и детский хирург. Детская хирургия. 2025;29(4):285–289.
  3. Шамсиев А.М. Морфологическая характеристика врожденных спинномозговых грыж у детей. Российский педиатрический журнал. 2016;19(4):45–52.
  4. Шамсиев А.М., Алиев Б.П., Алиева Ф.Б., Юсупов Ш.А. Современные подходы к диагностике и хирургическому лечению врожденных спинномозговых грыж у детей (обзор литературы). Innovative Surgery on the Silk Road. 2026;3(1):227–234.
  5. Шамсиев А.М. Детская хирургия в Самарканде: научная школа, современные технологии и перспективы развития. Самарканд: СамГМУ; 2024.
  6. Юсупов Ш.А., Шамсиев А.М. Современные методы хирургического лечения врожденных пороков развития у детей. Самарканд: СамГМУ; 2023.
  7. Adzick NS, Thom EA, Spong CY, et al. A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med. 2011;364:993–1004. doi:10.1056/NEJMoa1014379
  8. McLone DG, Dias MS. The Chiari II malformation: cause and impact in children with myelomeningocele. Pediatr Neurosurg. 2003;39(1):1–7. doi:10.1159/000069807

    file

    download