Description
In this medical lecture, Jayesh Trivedi discusses the complexities of diagnosing and treating back pain in children, referencing various etiologies and stressors that contribute to the condition. He notes that the prevalence of back pain in the pediatric population is often underreported, with historical estimates ranging from 2% to 10%, but more recent studies suggesting a higher incidence. Trivedi addresses the primary causes of back pain, categorizing them into mechanical issues, developmental disorders such as spondylolysis and Scheuermann's disease, as well as tumors and infections. Through an exploration of the diagnostic process, including examination techniques and imaging methods like MRIs and CT scans, he highlights the challenges faced by practitioners in accurately identifying the underlying causes of pain. Trivedi elucidates the symptoms associated with various conditions, with a keen focus on spondylolysis—the risk factors, diagnostic criteria, clinical features, and treatment protocols, including conservative management and surgical interventions. The lecture also touches on infections like discitis, distinguishing between pediatric and adult presentations, and concludes with an algorithmic approach to managing pediatric back pain. Throughout, he emphasizes the importance of thorough clinical assessment and the value of imaging studies in guiding appropriate treatment plans.
DOI: 10.1302/3114-221647