BackpaininChildhoodNOC5thDec课件.pptVIP

Back pain in Childhood Joel David Nuffield Orthopaedic Centre Oxford Epidemiology 1 in 5 school age children have back pain More prevalent in the 14 – 16yr group cf. with 8 – 10yrs olds Differential Dx Mechanical Inflammatory Infective Neoplasia Metabolic Pain amplification Red flags The very young Persistent and increasing pain Weight loss Fever Ridicular symptoms Sphincter disturbance No response to appropriate therapy after 2 months Mechanical back pain Spondylolysis Spondylolisthesis Most common in L5 Occur esp. in adolescent athletic boys Most frequently asymptomatic No association