Back pain in children and teenagers.

Controversial opinions have been published concerning the frequency of LBP among children and adolescents. Studies from orthopaedics or neurosurgical departments have reported low figures for prevalence of specific LBP due to serious disorders. Field surveys, on the contrary, have shown that cumulative life prevalence of non-specific LBP in children and teenagers can be comparable to the prevalence data for adult populations. Some specific diagnoses are more common or characteristic of children complaining of LBP. Age, gender, sports activities and family history of LBP have been found to be significantly associated with an increased prevalence in non-specific LBP among children. Low back pain among children and teenagers is common and should be recognized. This chapter provides guidelines for a clinical approach and differential diagnoses. Most back pain in these age groups is benign and should be treated as such.

[1]  Reed Mh,et al.  The radiology of juvenile rheumatoid arthritis. A review of the English language literature. , 1991 .

[2]  H. King,et al.  Back pain in children. , 1984, Pediatric clinics of North America.

[3]  J. Kuhn,et al.  Common causes of low back pain in children. , 1991, Radiographics : a review publication of the Radiological Society of North America, Inc.

[4]  M. Hellström,et al.  Disc Degeneration and Associated Abnormalities of the Spine in Elite Gymnasts: A Magnetic Resonance Imaging Study , 1991, Spine.

[5]  W. Robertson,et al.  Skeletal Sequelae of Radiation Therapy for Malignant Childhood Tumors , 1990, Clinical orthopaedics and related research.

[6]  A. Crawford,et al.  Magnetic resonance imaging in a child who had clinical signs of discitis. Report of a case. , 1988, The Journal of bone and joint surgery. American volume.

[7]  R. Delamarter,et al.  Primary neoplasms of the thoracic and lumbar spine. An analysis of 29 consecutive cases. , 1990, Clinical orthopaedics and related research.

[8]  U. Kujala,et al.  Disc degeneration in young gymnasts , 1990, The American journal of sports medicine.

[9]  M. Yunus,et al.  Juvenile primary fibromyalgia syndrome. A clinical study of thirty-three patients and matched normal controls. , 1985, Arthritis and rheumatism.

[10]  W. P. Bunnell Back pain in children. , 1982, The Orthopedic clinics of North America.

[11]  J. Salminen,et al.  Low-back pain and disk degeneration in children: a case-control MR imaging study. , 1991, Radiology.

[12]  C. Galasko,et al.  Back Pain in Childhood , 1989, Spine.

[13]  B. Silverstein,et al.  A Life-long Prospective Study on the Role of Psychosocial Factors in Neck-Shoulder and Low-Back Pain , 1991, Spine.

[14]  J. Kelsey,et al.  Familial predisposition for herniation of a lumbar disc in patients who are less than twenty-one years old. , 1991, The Journal of bone and joint surgery. American volume.

[15]  P. Pynsent,et al.  Influence of Anthropometric Factors and Joint Laxity in the Incidence of Adolescent Back Pain , 1984, Spine.

[16]  L. Swärd,et al.  Back Pain and Radiologic Changes in the Thoraco-Lumbar Spine of Athletes , 1990, Spine.

[17]  P. McGrath,et al.  The epidemiology of pain in children and adolescents: a review , 1991, Pain.

[18]  Nicholas,et al.  Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. , 1990, The Journal of bone and joint surgery. American volume.

[19]  R. Sturrock,et al.  Rheumatological complications of sickle cell disease. , 1991, Bailliere's clinical rheumatology.

[20]  S. Koh,et al.  Histological changes in aging lumbar intervertebral discs. Their role in protrusions and prolapses. , 1990, The Journal of bone and joint surgery. American volume.

[21]  F. Balagué,et al.  Low back pain in schoolchildren. An epidemiological study. , 1988, Scandinavian journal of rehabilitation medicine.

[22]  J. Rennie,et al.  Rheumatological manifestations of the leukaemias and graft versus host disease. , 1991, Bailliere's clinical rheumatology.

[23]  H. King Evaluating the child with back pain. , 1986, The Pediatric clinics of North America.

[24]  B. Worthington,et al.  Magnetic resonance imaging of adolescent disc herniation. , 1987, The Journal of bone and joint surgery. British volume.

[25]  J. Cassidy,et al.  Low-Back Pain and Straight Leg Raising in Children and Adolescents , 1989, Spine.

[26]  N. Epstein,et al.  Limbus Lumbar Vertebral Fractures in 27 Adolescents and Adults , 1991, Spine.

[27]  M Parnianpour,et al.  Cross-sectional study of the isokinetic muscle trunk strength among school children. , 1993, Spine.

[28]  J. Haasbeek,et al.  Hematocolpos as a Cause of Back Pain in Premenarchal Adolescents , 1990, Journal of pediatric orthopedics.

[29]  A. Crawford Operative treatment of spine fractures in children. , 1990, The Orthopedic clinics of North America.

[30]  A. Crawford,et al.  Diskitis in children. , 1991, Clinical orthopaedics and related research.

[31]  B. Singsen Rheumatic diseases of childhood. , 1990, Rheumatic diseases clinics of North America.

[32]  C. Langman,et al.  Abnormalities in serum osteocalcin values in children with chronic rheumatic diseases. , 1990, The Journal of pediatrics.

[33]  J. Salminen,et al.  Spinal Mobility and Trunk Muscle Strength in 15‐Year-Old Schoolchildren With and Without Low‐Back Pain , 1992, Spine.

[34]  U. Kujala,et al.  Subject characteristics and low back pain in young athletes and nonathletes. , 1992, Medicine and science in sports and exercise.

[35]  L. Swärd,et al.  Anthropometric Characteristics, Passive Hip Flexion, and Spinal Mobility in Relation to Back Pain in Athletes , 1990, Spine.

[36]  S. Seitsalo Operative and conservative treatment of moderate spondylolisthesis in young patients. , 1990, The Journal of bone and joint surgery. British volume.

[37]  L. Micheli Overuse injuries in children's sports: the growth factor. , 1983, The Orthopedic clinics of North America.

[38]  L. Swärd,et al.  Acute injury of the vertebral ring apophysis and intervertebral disc in adolescent gymnasts. , 1990, Spine.

[39]  M. S. Smith,et al.  Psychosomatic symptoms in adolescence. , 1990, The Medical clinics of North America.

[40]  J. Salminen,et al.  THE ADOLESCENT BACK , 1984, Acta paediatrica Scandinavica. Supplement.

[41]  BRIEFLY NOTED: Juvenile Lumbar Herniated Nucleus Pulposus in Monozygotic Twins , 1990, Spine.

[42]  A. Crawford Discitis in children , 1991 .

[43]  A. Shanon,et al.  Cat-scratch disease associated with a vertebral osteolytic lesion. , 1989, The Pediatric infectious disease journal.

[44]  D. Resnick,et al.  Tumors and tumor like lesions of bone imaging and pathology of specific lesions , 1988 .

[45]  C. Nelson,et al.  Disk protrusions in the young. , 1972, Clinical orthopaedics and related research.

[46]  W. Martel,et al.  Juvenile rheumatoid arthritis: clinicoradiologic correlations. , 1977, Arthritis and rheumatism.

[47]  M. Ylikoski,et al.  Lumbar Isthmic Spondylolisthesis in Children and Adolescents: Radiologic Evaluation and Results of Operative Treatment , 1990, Spine.

[48]  W. Kamphorst,et al.  Primary spinal epidural extraosseous ewing's sarcoma , 1991, Cancer.

[49]  R. Dickson,et al.  Primary Tumors of the Axial Skeleton: Experience of the Leeds Regional Bone Tumor Registry , 1990, Spine.

[50]  M. Ehrlich,et al.  Congenital Intraspinal Lipomas: Clinical Presentation and Response to Treatment , 1987, Journal of pediatric orthopedics.

[51]  Douglas W. Jackson,et al.  Spine injuries in gymnasts and swimmers , 1991 .

[52]  P. Pizzutillo,et al.  Nonoperative Treatment for Painful Adolescent Spondylolysis or Spondylolisthesis , 1989, Journal of pediatric orthopedics.

[53]  J L Kelsey,et al.  Low back pain/prolapsed lumbar intervertebral disc. , 1990, Rheumatic diseases clinics of North America.

[54]  Stanitski Cl,et al.  Management of sports injuries in children and adolescents. , 1988 .

[55]  C. Langman,et al.  25-Hydroxyvitamin D therapy in children with active juvenile rheumatoid arthritis: short-term effects on serum osteocalcin levels and bone mineral density. , 1991, The Journal of pediatrics.

[56]  M. Yunus,et al.  Primary fibromyalgia (fibrositis): clinical study of 50 patients with matched normal controls. , 1981, Seminars in arthritis and rheumatism.

[57]  E. Schlesinger The Significance of Genetic Contributions and Markers in Disorders of Spinal Structure , 1990 .

[58]  J. Fourre,et al.  The child, the spine and sport. , 1988, The Journal of sports medicine and physical fitness.

[59]  J. Bresee,et al.  Psoas abscess in children , 1990, The Pediatric infectious disease journal.

[60]  J. Pentti,et al.  Low back pain and disability in 14‐year‐old schoolchildren , 1992, Acta paediatrica.

[61]  J. Troup,et al.  Variation in lumbar sagittal mobility with low-back trouble. , 1989 .