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Back pain and spinal alignment abnormalities in schoolchildren.

B Troussier1, S Marchou-Lopez, S Pironneau

  • 1Rheumatology Department, Grenoble Teaching Hospital, France.

Revue Du Rhumatisme (English Ed.)
|October 20, 1999
PubMed
Summary

Back pain and scoliosis prevalence increases with age in children aged 10-14. Girls report more back pain, often in the lower spine, with identified clinical profiles and associated factors.

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Why the back of the child?

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2000

Area of Science:

  • Pediatric Orthopedics
  • Public Health
  • Epidemiology

Background:

  • Back pain is a common complaint in children and adolescents.
  • Understanding its prevalence and associated factors is crucial for early intervention.

Purpose of the Study:

  • To determine the prevalence of back pain and spinal alignment abnormalities in children aged 10-14 years.
  • To identify clinical profiles and associated factors for thoracic or lumbar spine pain.

Main Methods:

  • A cross-sectional study involving 972 five- and nine-graders.
  • Data collected via back pain questionnaires and physical examinations by school physicians.
  • Multivariate analysis used to define clinical subsets and identify pain-associated factors.

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Main Results:

  • Back pain prevalence rose from 14.3% at age 10 to 24% at age 14.
  • Girls reported back pain more frequently than boys, typically in the lower back.
  • Scoliosis prevalence increased with age and was higher in girls; five distinct clinical profiles were identified.

Conclusions:

  • Age and sex are significant factors in pediatric back pain and scoliosis.
  • Distinct clinical profiles exist, highlighting the need for tailored management strategies.
  • Identifying associated factors aids in targeted interventions for spinal pain in children.