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Imaging of back pain in children

D P Rodriguez1, T Y Poussaint

  • 1Harvard Medical School and Division of Neuroradiology, Department of Radiology, Children's Hospital, Boston, Massachusetts 02115, USA.

AJNR. American Journal of Neuroradiology
|November 21, 2009
PubMed

Insights

Pediatric back pain requires careful diagnosis and treatment planning. This review covers the epidemiology, imaging, and common causes of back pain in children, aiding clinical decision-making.

Area of Science:

  • Pediatric Medicine
  • Radiology
  • Orthopedics

Background:

  • Back pain is less common in children but clinically challenging.
  • Underlying pathology is often suspected in pediatric patients seeking medical attention for back pain.

Purpose of the Study:

  • To describe the epidemiology of pediatric back pain.
  • To outline the recommended imaging work-up for children with back pain.
  • To correlate imaging findings with common pediatric pathologies causing back pain.

Main Methods:

  • Clinical history and physical examination.
  • Age- and size-appropriate imaging work-up based on initial findings.
  • Review of common pediatric diseases causing back pain, from athletic injuries to cancers.

Main Results:

  • Epidemiological data on pediatric back pain.
  • Guidelines for imaging modalities in pediatric back pain evaluation.
  • Correlation between imaging results and specific diagnoses.

Conclusions:

  • A systematic approach involving clinical evaluation and targeted imaging is crucial for diagnosing pediatric back pain.
  • Understanding common pathologies and their imaging features aids in effective management.
  • Early diagnosis and treatment are vital for favorable outcomes in pediatric back pain cases.

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