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Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
06:44

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Published on: June 23, 2009

A pain in the buttock.

Zachary C Landman1, Shannon Beres, Michael D Cabana

  • 1Department of Pediatrics, University of California, San Francisco, CA 94117, USA.

Case Reports in Pediatrics
|May 19, 2012
PubMed
Summary
This summary is machine-generated.

Spondylolysis, a common cause of pediatric back pain, involves pars interarticularis fractures often linked to athletic activities. Prompt diagnosis and a four-to-six-week treatment plan including rest and bracing are crucial for resolution.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Pediatric Spine Disorders

Background:

  • Spondylolysis, a fracture of the pars interarticularis, is a frequent cause of back pain in pediatric populations.
  • The condition disproportionately affects Asian and Inuit demographics and is notably absent in nonambulatory children.
  • Its association with athletic activities involving spinal extension or rotation suggests a significant functional component.

Observation:

  • Pain onset is typically insidious, without preceding trauma, and often accompanied by muscular spasm.
  • Diagnosis necessitates a high index of suspicion, proficiency in provocative testing, and appropriate radiographic assessment.
  • The condition is not observed in nonambulatory children, highlighting a functional or activity-related etiology.

Findings:

  • Spondylolysis is a common cause of back pain in active children and adolescents.
  • Athletic activities involving spinal extension or rotation are strongly associated with its occurrence.
  • Radiographic evaluation and clinical suspicion are key for accurate diagnosis.

Implications:

  • Early diagnosis and intervention are critical for managing pediatric spondylolysis.
  • Treatment protocols emphasize rest, bracing, and cessation of aggravating athletic activities.
  • A minimum of four to six weeks of treatment is often required for symptomatic and radiographic resolution.