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[Back pain in children]

J C Abril Martín1, L A Martos Rodríguez, J A Queiruga Dios

  • 1Hospital Nacional del Niño Jesús, Universidad Autónoma, Madrid.

Anales Espanoles De Pediatria
|February 1, 1997
PubMed
Summary

Back pain in children is often idiopathic, but pathological causes require specific treatment. This study investigated the incidence and causes of pediatric back pain, finding 59% of cases were pathological.

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Area of Science:

  • Pediatric Orthopedics
  • Clinical Epidemiology

Context:

  • Back pain is a common pediatric complaint with unknown incidence in our country.
  • It is essential to differentiate between idiopathic and pathological causes requiring specific interventions.

Purpose:

  • To determine the incidence and etiological factors of back pain in children.
  • To identify underlying pathologies necessitating specialized treatment.

Summary:

  • A 7-month prospective study of 22 pediatric patients with back pain revealed an incidence of 2.9%.
  • Idiopathic causes were most frequent (41%), while 59% had identifiable pathologies including Scheuermann disease, scoliosis, spondylolisthesis, discitis, neoplasm, and psychogenic factors.
  • Diagnosis involved history and radiological examination, identifying causes in 50% of cases.

Impact:

  • Highlights the importance of thorough evaluation for pediatric back pain to rule out serious conditions.
  • Informs management strategies, recommending conservative treatment for idiopathic cases and specific interventions for pathological causes.

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