Back pain in children and adolescents
F Altaf1, M K S Heran2, L F Wilson1
1Royal National Orthopaedic Hospital, Spinal Surgical Unit, Brockley Hill, Stanmore HA7 4LP, UK.
The Bone & Joint Journal
|June 4, 2014
Summary
Pediatric back pain often stems from pars interarticularis issues. Serious conditions like malignancy and infection must be ruled out, guiding diagnosis and treatment.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Adolescent Medicine
Background:
- Back pain is a frequent complaint in children and adolescents.
- Identifying the cause is crucial for appropriate management.
- Pars interarticularis defects are common identifiable issues.
Purpose of the Study:
- To review common and serious causes of pediatric back pain.
- To highlight the role of clinical evaluation and imaging.
- To guide the management of back pain in young individuals.
Main Methods:
- Review of literature on pediatric back pain causes.
- Emphasis on clinical history and physical examination.
- Discussion of diagnostic imaging utility.
Main Results:
- Pars interarticularis defects and stress reactions are most common.
- Malignancy and infection are critical differential diagnoses in systemic illness.
- Imaging aids in reassurance and management guidance.
Conclusions:
- Thorough clinical assessment is paramount for pediatric back pain.
- Diagnostic imaging is essential for persistent or severe symptoms.
- Accurate diagnosis ensures appropriate patient care and outcomes.
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