A REVIEW OF TREATMENT CONGENITAL DEVELOPMENTAL ANOMALY OF VERTEBRA - HEMIVERTEBRA IN CHILDREN

PhD Kholov Z. S. and *Kholboyev G. T.

ABSTRACT

Congenital scoliosis causing malformations of the vertebrae, often leading to severe and rigid spinal deformity in young patients, causing a gross cosmetic defect and impaired biomechanics. In rare cases of spinal diseases in children, congenital malformations occupy a very small place - from 2 to 11%. Congenital scoliosis occurs with a frequency of 0.5-1 per 1000 live births. The role of natural and environmental factors in its etiology has not been fully elucidated. Study of the premise that the spine develops due to a developmental disorder in the fifth and eighth weeks of pregnancy. The pathogenesis of hemivertebrae can be understood from the embryonic stage. Development of the spine occurs in the sixth week of pregnancy, when two late central chondrifications occur in the deviations of the vertebral bodies. By 7-8 weeks of gestation, these centers of chondrification merge, forming the primary center of ossification of the body, which temporarily opens into the anterior and posterior parts with the remainder of the notochord. Indications for surgical intervention in congenital scoliosis should be considered in terms of the severity of the existing deformity and the prospects for its further progression. With surgical intervention in childhood, it is possible to prevent the progression and further development of gross deformities of the spine.

Keywords: Congenital scoliosis, hemivertebra, anterior - posterior approach, posterior approach.