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Flashcards in peds54 Deck (10):
1

back pain in kids

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

2

most common cause of back pain in kids

back strain

3

spondylolysis

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

4

dx of spondylolysis

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

5

management of spondilolitis

rest and analgesics; bracing or surgery are sometimes required

6

complication of spondilolysis

spondylolisthesis

7

spondylolisthesis

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

8

diskitis

infection (staph aureus) or inflamm of the intervertebral disk

9

clinical features of diskitis

URI or trauma precedes back pain; treatment is rest

10

herniated intervertebral disk

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