Imaging in Pediatric Low Back Pain: AJR Expert Panel Narrative Review.

Area of Science:

• Radiology
• Pediatric Imaging
• Musculoskeletal Disorders

Background:

• Low back pain (LBP) is a common presentation in children without acute trauma.
• While often benign, LBP can signal serious underlying conditions like infections, neoplasms, or inflammatory diseases requiring prompt management.
• Magnetic Resonance Imaging (MRI) is the primary imaging modality for evaluating pediatric LBP.

Purpose of the Study:

• To provide an overview of appropriate imaging use for pediatric LBP.
• To highlight the utility of different imaging modalities and techniques.
• To review imaging features of common and critical causes of pediatric LBP.

Main Methods:

• This is an AJR Expert Panel Narrative Review.
• The review synthesizes current knowledge on imaging for pediatric LBP.
• It focuses on appropriate use, optimal techniques, and key imaging findings.

Main Results:

• Increased radiologist awareness of imaging findings can expedite diagnosis and treatment.
• Judicious use of advanced imaging is crucial to avoid unnecessary costs and risks.
• The review covers classic imaging features of common and uncommon pediatric LBP causes.

Conclusions:

• Appropriate imaging selection and interpretation are vital for managing pediatric LBP.
• Radiologist expertise in pediatric-specific organic causes of LBP is essential.
• Timely diagnosis through effective imaging reduces patient morbidity and mortality.