peds54

Question 1

back pain in kids

Answer 1

very rare, so any back pain that interferes with play should be evaluated for serious disease

Question 2

most common cause of back pain in kids

Answer 2

back strain

Question 3

spondylolysis

Answer 3

stress fracture in the pars interarticularis 2/2 repetitive hyperextension of the spine; usually involves lumbar region (esp L5); pain incr with hyperextension

Question 4

dx of spondylolysis

Answer 4

plain films may not detect; therefore use bone scan or single photon emission CT

Question 5

management of spondilolitis

Answer 5

rest and analgesics; bracing or surgery are sometimes required

Question 6

complication of spondilolysis

Answer 6

spondylolisthesis

Question 7

spondylolisthesis

Answer 7

when the body of the vertebra involved in the spondylolysis slips anteriorly; the subluxed vertebra can impinge on nerve roots.

Question 8

diskitis

Answer 8

infection (staph aureus) or inflamm of the intervertebral disk

Question 9

clinical features of diskitis

Answer 9

URI or trauma precedes back pain; treatment is rest

Question 10

herniated intervertebral disk

Answer 10

more common in adults; lumbar region most commonly affected; herniation caused by repetitive activity; tx with rest. Surgery usually not necessary