Back pain in children

The common mechanical disorders of the intervertebral joints can cause back pain in children, which must always be taken seriously. Like abdominal pain and leg pain, it can be related to psychogenic factors, so this possibility should be considered by diplomatically evaluating problems at home, at school or with sport.

Especially in children under the age of 10, it is very important to exclude organic disease. Infections such as osteomyelitis and tuberculosis are rare possibilities, and 'discitis' has to be considered. This painful condition can be idiopathic, but can also be caused by the spread of infection from a vertebral body. It has characteristic radiological changes.

Tumours causing back pain include the benign osteoid osteoma and the malignant osteogenic sarcoma. Osteoid osteoma is a very small tumour with a radiolucent nucleus that is sharply demarcated from the surrounding area of sclerotic bone. Although more common in the long bones of the leg, it can occur in the spine.

In older children and adolescents the organic causes of back pain are more likely to be inflammatory, congenital or from developmental anomalies and trauma.

A prolapsed intervertebral disc, which can occur (uncommonly) in adolescents, can be very unusual in its presentation. There is often marked spasm, with a stiff spine and lateral deviation, which may be out of proportion to the relatively lower degree of pain.

Spondylolisthesis can occur in older children, usually due to a slip of L5 or S1, because the articular facets are congenitally absent or because of a stress fracture in the pars interarticularis. It is necessary to request standing lateral and oblique X-rays.

Back Pain Revealed

Back Pain Revealed

Tired Having Back Pains All The Time, But You Choose To Ignore It? Every year millions of people see their lives and favorite activities limited by back pain. They forego activities they once loved because of it and in some cases may not even be able to perform their job as well as they once could due to back pain.

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