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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
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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.

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.

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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.