Back Pain

DeWolfe, Craig

doi:10.1542/pir.23.6.221

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…6 Diligent investigation with extensive evaluation using imaging and lab work was recommended for every child who complained of back pain to avoid missing a possible underlying cause. 8 In younger children, an organic cause of back pain can often be found. However, back pain in older children and adolescents is often “non-specific.” 9…”

Section: Introductionmentioning

confidence: 99%

Clinical examination and imaging resources in children and adolescent back pain

León-Domínguez,

Cansino-Román,

Martínez-Salas

et al. 2023

Journal of Children's Orthopaedics

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Back pain is a relatively common complaint in children and adolescents. The pediatric patient presenting with back pain can often be challenging, and there are many well-known organic diagnoses that should not be missed. In younger children, an organic cause of back pain can often be found. However, back pain in older children and adolescents is often “non-specific.” The differential diagnosis of back pain in children includes neoplasms, developmental, and inflammatory conditions. Basic steps should include an in-depth anamnesis, a systematic physical examination, and standard spine radiographs (anteroposterior and lateral). Nevertheless, advanced diagnostic imaging and laboratory studies should be included when indicated to avoid missing or delaying a serious diagnosis. If other types of imaging tests are necessary (magnetic resonance imaging, computed tomography, bone scan, or single photon emission computed tomography), they should be guided by diagnostic suspicion.

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Section: Introductionmentioning

confidence: 99%

Clinical examination and imaging resources in children and adolescent back pain

León-Domínguez,

Cansino-Román,

Martínez-Salas

et al. 2023

Journal of Children's Orthopaedics

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An Unusual Cause of Back Pain in a 10-Year-Old Girl

Sandelich

Adirim

2017

Pediatr Emer Care

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A 10-year-old girl with a 2-week history of atraumatic back pain presented to the emergency department with difficulty ambulating and a history of 2 episodes of urinary incontinence in the past week. Her examination was significant for pain with movement, tenderness to palpation in the lower thoracic spine, and no neurological deficits. In this case, the child was found to have a Schmorl node at T8 in the superior aspect of the vertebral body. Schmorl nodes are protrusions of the cartilage of the intervertebral disc through the vertebral body endplate and into the adjacent that is more commonly reported in the adult population. In this child, radiographic findings were normal, with no evidence of the Schmorl node. The diagnosis was made by magnetic resonance imaging. The child's symptoms significantly resolved with ibuprofen anti-inflammatory therapy. In children with atraumatic back pain lasting greater than 2 weeks with a sudden increase in severity and associated with a neurological deficit, advanced imaging is strongly recommended.

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Back Pain in Children and Adolescents

Lamb

Brenner

2020

Pediatrics in Review

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Back pain has long been considered an uncommon complaint in the pediatric population. When present, teaching had been that pediatric back pain almost always has a diagnosable cause, many of which are progressive and potentially debilitating. Recent evidence has suggested that pediatric back pain is not only more common than once thought but also, within certain populations, benign and idiopathic. This, in turn, places an increasing amount of pressure on pediatricians to accurately assess and manage their patients presenting with complaints of back pain. The aim of this article is to serve as a review of the current literature on pediatric back pain. The article reviews the epidemiology, basic anatomy, and important elements of a history and examination, which should be considered when a child presents complaining of back pain. Last, a common differential diagnosis with evaluation and management is also given to help guide pediatricians through their medical decision making.

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Back Pain

Cited by 3 publications

References 4 publications

Clinical examination and imaging resources in children and adolescent back pain

Clinical examination and imaging resources in children and adolescent back pain

An Unusual Cause of Back Pain in a 10-Year-Old Girl

Back Pain in Children and Adolescents

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