Paediatric Back Pain

Spondylosis / spondylolisthesis

- most common cause

- adolescent playing sport

 

Scheuermann's kyphosis
- 1/3 of patients

 

HNP

- rare

 

Fracture

 

Apophyseal ring fracture

- traumatic fracture between vertebral body and cartilaginous ring

- apophysis displaced posteriorly with disc

- decompression if causes neurological symptoms

 

Discitis / Osteomyelitis

 

Tumour

- benign: OO / OB / ABC / giant cell tumour / EG

- malignant: Ewings / OS / chordoma / leukaemia

 

RA

Ankylosing spondylitis / other seronegative inflammatory conditions

Diastematomyelia

Juvenile Osteoporosis