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Indian Journal of Pediatrics
Published in: Indian Journal of Pediatrics 8/2016

01-08-2016 | Review Article

Back Pain in Children- How Sinister?

Authors: Pankaj Kandwal, G. Vijayaraghavan, Ankur Goswami, Arvind Jayaswal

Published in: Indian Journal of Pediatrics | Issue 8/2016

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Abstract

Incidence of back pain among children and adolescents is gradually increasing. Children undergo extensive diagnostic workup that ultimately results in a nonconfirmative diagnosis. A good history and clinical examination can, to a large extent help differentiate non-specific from organic causes of backache. Diagnostic workup may be initiated if symptoms are severe and/or persistant. The authors review some of the common causes of back pain in pediatric population, clinical presentations, and the relevant investigations along with their management.
Literature
1.
2.
Jones MA, Stratton G, Reilly T, Unnithan VB. A school-based survey of recurrent non-specific low-back pain prevalence and consequences in children. Health Educ Res. 2004;19:284–9.CrossRefPubMed
3.
Burton AK, Clarke RD, McClune TD, Tillotson KM. The natural history of low back pain in adolescents. Spine. 1996;21:2323–8.CrossRefPubMed
4.
5.
Fribourg D, Delgado E. Occult spinal cord abnormalities in children referred for orthopedic complaints. Am J Orthop Belle Mead NJ. 2004;33:18–25.PubMed
6.
Feldman DS, Hedden DM, Wright JG. The use of bone scan to investigate back pain in children and adolescents. J Pediatr Orthop. 2000;20:790–5.CrossRefPubMed
7.
8.
Miller R, Beck NA, Sampson NR, Zhu X, Flynn JM, Drummond D. Imaging modalities for low back pain in children: a review of spondyloysis and undiagnosed mechanical back pain. J Pediatr Orthop. 2013;33:282–8.CrossRefPubMed
9.
Gilbert FJ, Grant AM, Gillan MGC, et al. Low back pain: influence of early MR imaging or CT on treatment and outcome--multicenter randomized trial. Radiology. 2004;231:343–51.CrossRefPubMed
10.
Bhatia NN, Chow G, Timon SJ, Watts HG. Diagnostic modalities for the evaluation of pediatric back pain: a prospective study. J Pediatr Orthop. 2008;28:230–3.CrossRefPubMed
11.
Davis PJC, Williams HJ. The investigation and management of back pain in children. Arch Dis Child Educ Pract Ed. 2008;93:73–83.CrossRefPubMed
12.
Altaf F, Heran MKS, Wilson LF. Back pain in children and adolescents. Bone Jt J. 2014;96-B:717–23.CrossRef
13.
14.
Cavalier R, Herman MJ, Cheung EV, Pizzutillo PD. Spondylolysis and spondylolisthesis in children and adolescents: I. Diagnosis, natural history, and nonsurgical management. J Am Acad Orthop Surg. 2006;14:417–24.CrossRefPubMed
15.
Cheung EV, Herman MJ, Cavalier R, Pizzutillo PD. Spondylolysis and spondylolisthesis in children and adolescents: II. Surgical management. J Am Acad Orthop Surg. 2006;14:488–98.CrossRefPubMed
16.
Higashino K, Sairyo K, Katoh S, Takao S, Kosaka H, Yasui N. Long-term outcomes of lumbar posterior apophyseal end-plate lesions in children and adolescents. J Bone Joint Surg Am. 2012;94:e74.CrossRefPubMed
17.
Ikata T, Morita T, Katoh S, Tachibana K, Maoka H. Lesions of the lumbar posterior end plate in children and adolescents. An MRI study. J Bone Joint Surg (Br). 1995;77:951–5.
18.
Chang C-H, Lee Z-L, Chen W-J, Tan C-F, Chen L-H. Clinical significance of ring apophysis fracture in adolescent lumbar disc herniation. Spine. 2008;33:1750–4.CrossRefPubMed
19.
Lin C, MacKenzie JD, Courtier JL, Gu JT, Milojevic D. Magnetic resonance imaging findings in juvenile spondyloarthropathy and effects of treatment observed on subsequent imaging. Pediatr Rheumatol Online J. 2014;12:25.CrossRefPubMedPubMedCentral
20.
Maxwell LJ, Zochling J, Boonen A, et al. TNF-alpha inhibitors for ankylosing spondylitis. Cochrane Database Syst Rev. 2015;4:CD005468.PubMed
21.
Palazzo C, Sailhan F, Revel M. Scheuermann’s disease: an update. Jt Bone Spine. 2014;81:209–14.CrossRef
22.
Tribus CB. Scheuermann’s kyphosis in adolescents and adults: diagnosis and management. J Am Acad Orthop Surg. 1998;6:36–43.CrossRefPubMed
23.
Rajasekaran S. The natural history of post-tubercular kyphosis in children. Radiological signs which predict late increase in deformity. J Bone Joint Surg (Br). 2001;83:954–62.CrossRef
24.
25.
Bell GR. Surgical treatment of spinal tumors. Clin Orthop Relat Res. 1997;335:54–63.PubMed
26.
Simmons ED, Zheng Y. Vertebral tumors: surgical versus nonsurgical treatment. Clin Orthop. 2006;443:233–47.CrossRefPubMed
27.
Singh H, Meyer SA, Jenkins AL 3rd. Treatment of primary vertebral tumors. Mt Sinai J Med. 2009;76:499–504.
28.
Caro PA, Mandell GA, Stanton RP. Aneurysmal bone cyst of the spine in children. MRI imaging at 0.5 tesla. Pediatr Radiol. 1991;21:114–6.CrossRefPubMed
29.
Gasbarrini A, Cappuccio M, Donthineni R, Bandiera S, Boriani S. Management of benign tumors of the mobile spine. Orthop Clin North Am. 2009;40:9–19. v.CrossRefPubMed
30.
Silberstein MJ, Sundaram M, Akbarnia B, Luisiri A, McGuire M. Eosinophilic granuloma of the spine. Orthopedics. 1985;8:264, 267–74.
31.
Sundaresan N, Rosen G, Boriani S. Primary malignant tumors of the spine. Orthop Clin North Am. 2009;40:21–36. v.CrossRefPubMed
32.
Ilaslan H, Sundaram M, Unni KK, Dekutoski MB. Primary Ewing’s sarcoma of the vertebral column. Skelet Radiol. 2004;33:506–13.CrossRef
33.
Schellinger KA, Propp JM, Villano JL, McCarthy BJ. Descriptive epidemiology of primary spinal cord tumors. J Neurooncol. 2008;87:173–9.CrossRefPubMed
Metadata
Title
Back Pain in Children- How Sinister?
Authors
Pankaj Kandwal
G. Vijayaraghavan
Ankur Goswami
Arvind Jayaswal
Publication date
01-08-2016
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 8/2016
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-015-1886-0

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