Objective: The aim of the work was to assess movement disorders, to determine the nature of locomotor status disorders in children with various deformities of the lower extremities in spinal pathology.

Background: The syndrome of movement disorders is often accompanied by a child’s lag in mental, physical and emotional development, for example, slowing down or impaired articulation, facial expressions. The syndrome of movement disorders in a newborn occurs in 5% of children in Uzbekistan.

Method: A complex of clinical and paraclinical studies was carried out, an assessment was made of clinical, neurological, locomotor disorders in 210 patients with spinal pathologies for 2019-2022. The patients were aged from 1 day to 10 years: there were 100 boys (48.6%), girls – 110 (51.4%). In 126 (74%) cases had motor dysfunction of varying severity.

Results: Motor disorders were observed in 98 (73.8%). A latent form of spinal dystrophy was detected in 58 (31.8%) patients. Of these, in 47 (56.9%): without concomitant anomaly – in 11 (7.8%); with a combination of latent spinal dystrophy with colon pathology – in 34 (19.6%); with anorectal anomalies and urological pathology with disorders of the act of defecation and urination in various manifestations and combinations – in 20 (29.4%) motor disorders were not observed. In 44 (43.1%), dysmotility manifested itself in the form of mild paresis (MRS score 4) or muscle hypotension with decreased knee reflexes. In 110 patients with motor disorders, 76 (76.4%) children had moderate (3 points) and mild paresis (4 points), characterized by loss or decrease in the function of individual muscles of the lower leg and feet, while maintaining the knee and the absence of Achilles and plantar reflexes with a decrease muscle tone in the lower extremities. Unilateral pathology was confirmed in 29 (40.43%) patients. In 30 (59.57%) cases, foot deformities were bilateral with a predominance of the equinus component, calcaneal-valgus, or flat-valgus deformity.

Conclusion: Spinal pathologies in children are movement disorders, the severity of which depends on the type, degree and level of myelodysplasia, aggravated by associated vertebro-spinal anomalies. In the occurrence of pathology of the musculoskeletal system and static-dynamic disorders that lead to instability of vertical stability and movements in the lower extremities.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/motor-disorders-in-congenital-spinal-pathology-in-children/