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Children with Back Pain - a Radiologist's Approach

Overview
Journal Pol J Radiol
Publisher Termedia
Specialty Radiology
Date 2023 Sep 13
PMID 37701175
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Abstract

Purpose: The aim of the study was to analyse magnetic resonance imaging (MRI) of paediatric patients referred because of back pain.

Material And Methods: The retrospective analysis included the medical records of 328 patients referred in 2020-2022 to the Department of Paediatric Radiology for spine examination. The criterion for inclusion in the analysed group was back pain as the dominant symptom. This symptom occurred in 20% (68 patients) of referrals for MRI examinations. The examination was performed with the 3T Magnetom Spectra.

Results: In 68 patients aged 2 to 17 years, with back pain as the first diagnosis, 53% (36 patients - 16 girls and 20 boys) showed abnormalities. The rest of the tests were assessed as normal. Among the patients with an abnormal MR image, the largest group were children with degenerative changes diagnosed: 10 children (28%) aged 13-17 years. In 9 patients (25%) aged 2-16 years the final diagnosis qualified the patients to the group of oncological diagnoses. Another group of 7 (19%) patients, aged 6-14 years, comprised children diagnosed with inflammation. The group of 5 patients, aged 3-17 years, presented symptoms most likely related to the trauma. One 7-year-old boy was diagnosed with large calcifications within the intervertebral disc.

Conclusions: Back pain, with accompanying neurological symptoms, should not be underestimated. Although in most clinical situations the MR image is normal, in the case of persistent symptoms and neurological abnormalities confirmed by the clinician, extending the diagnostics with MR imaging should be considered. This imaging can accelerate the correct diagnostic path or make a very precise diagnosis.

Citing Articles

Clinical presentation and imaging findings in juvenile-onset back pain: a ten-year hospital-based retrospective analysis in Douala (Cameroon).

Lekpa F, Eloundou P, Moulion Tapouh J, Njonnou S, Fojo Talongong B, Same Bebey F Front Pediatr. 2024; 12:1424391.

PMID: 39015207 PMC: 11250053. DOI: 10.3389/fped.2024.1424391.

References
1.
Dunn A, Campbell R, Mayor P, Rees D . Radiological findings and healing patterns of incomplete stress fractures of the pars interarticularis. Skeletal Radiol. 2008; 37(5):443-50. DOI: 10.1007/s00256-008-0449-0. View

2.
Roberts S, Calligeros K, Tsirikos A . Evaluation and management of paediatric and adolescent back pain: Epidemiology, presentation, investigation, and clinical management: A narrative review. J Back Musculoskelet Rehabil. 2019; 32(6):955-988. DOI: 10.3233/BMR-170987. View

3.
Balague F, Troussier B, Salminen J . Non-specific low back pain in children and adolescents: risk factors. Eur Spine J. 2000; 8(6):429-38. PMC: 3611213. DOI: 10.1007/s005860050201. View

4.
Zhou Y, Qin Y, Mu T, Zheng H, Cai J . Magnetic Resonance Imaging Findings of Intraspinal Tuberculoma in Children. Front Neurol. 2022; 13:936837. PMC: 9378988. DOI: 10.3389/fneur.2022.936837. View

5.
Wang Y, Xu Y, Tian G, Dai G . Pediatric lumbar disc herniation: a report of two cases and review of the literature. Eur J Med Res. 2022; 27(1):82. PMC: 9164894. DOI: 10.1186/s40001-022-00696-x. View