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  • 66 -4 (90) 2026 - Shamsiev A.M., Aliyev B.P. - MORPHOLOGICAL FEATURES OF CONGENITAL SPINAL HERNIAS IN CHILDREN AND THEIR SIGNIFICANCE FOR THE CHOICE OF TREATMENT STRATEGY

66 -4 (90) 2026 - Shamsiev A.M., Aliyev B.P. - MORPHOLOGICAL FEATURES OF CONGENITAL SPINAL HERNIAS IN CHILDREN AND THEIR SIGNIFICANCE FOR THE CHOICE OF TREATMENT STRATEGY

MORPHOLOGICAL FEATURES OF CONGENITAL SPINAL HERNIAS IN CHILDREN AND THEIR SIGNIFICANCE FOR THE CHOICE OF TREATMENT STRATEGY

Shamsiev A.M. - Samarkand State Medical University

Aliyev B.P. - Samarkand State Medical University

Alieva F.B. - Samarkand State Medical University

Resume

A clinical and morphological study of congenital spinal hernias in children was carried out based on the analysis of 39 biopsy specimens of the hernial sac and regional tissues obtained from patients under 1 year of age. In 21 children, the material was obtained during surgical treatment of meningoradiculocele, while in 18 cases spinal hernias were combined with congenital intradural malformations. It was established that the morphological structure of the hernial contents is characterized by pronounced polymorphism. In cases with intact skin, no specific differences in the epidermis were found between various forms of spina bifida; however, in the presence of ulceration, marked vascular-trophic disorders, dermal edema, vascular thrombosis, and granulation tissue were observed. Fragments of the meninges, nerve roots, neuroglia, mature adipose tissue, cystic cavities, as well as associated malformations such as lipomas, angiolipomas, fibromas, osteophytes, arachnoid cysts, and inter-root adhesions were identified within the hernial sac. The morphological findings confirm that in complicated forms of the defect, the radicular apparatus and elements of the spinal cord conducting system are frequently involved, which determines the severity of neurological disorders and requires a precise surgical approach.

Keywords: spinal hernias, children, morphology, biopsy, meningoradiculocele, meningomyelocele, spinal dysraphism.

First page

452

Last page

459

For citation:Shamsiev A.M., Aliyev B.P., Alieva F.B. - MORPHOLOGICAL FEATURES OF CONGENITAL SPINAL HERNIAS IN CHILDREN AND THEIR SIGNIFICANCE FOR THE CHOICE OF TREATMENT STRATEGY//New Day in Medicine 4(90)2026 452-459 https://newdayworldmedicine.com/en/new_day_medicine/4-90-2026

List of References

  1. Рошаль Л.М., Разумовский А.Ю., Морозов Д.А. Профессор Азамат М. Шамсиев — выдающийся ученый и детский хирург. Детская хирургия. 2025;29(4):285–289.
  2. Хачатрян В.А., Еликбаев Г.М. Современные подходы к хирургическому лечению spina bifida у детей. Нейрохирургия и детская хирургия. 2008;3:24–31.
  3. Шамсиев А.М. Морфологическая характеристика врожденных спинномозговых грыж у детей. Российский педиатрический журнал. 2016;19(4):45–52.
  4. Шамсиев А.М., Юсупов Ш.А. Современные методы хирургического лечения врожденных пороков развития у детей. Самарканд: СамГМУ; 2023.
  5. 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
  6. McLone DG, Dias MS. The Chiari II malformation: cause and impact in children with myelomeningocele. Pediatr Neurosurg. 2003;39:1–7.
  7. Rosai J. Rosai and Ackerman’s Surgical Pathology. 9th ed. St. Louis: Mosby; 2004.
  8. Hedequist D, Hresko T. Orthopedic management of myelomeningocele. J Am Acad Orthop Surg. 2005;13(4):255–263. doi:10.5435/00124635-200507000-00005
  9. Mitchell LE, Adzick NS, Melchionne J, et al. Spina bifida. Lancet. 2004;364:1885–1895. doi:10.1016/S0140-6736(04)17352-9
  10. Copp AJ, Greene NDE. Genetics and development of neural tube defects. J Pathol. 2010;220:217–230. doi:10.1002/path.2643

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