Foot and Ankle International
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Wheeless' Textbook of Orthopaedics

Back Pain in the Child


- Diff Dx: - Developmental disorders - Herniated Disc in the Child: - Osteomyelitis of the Spine: - Tuberculous Spondylitis: - Diskitis - Spinal Cord Tumors - Primary Bone Tumors - eosinophilic granuloma - ewing's sarcoma - metastatic neuroblastoma - Slipped Vertebral Apophysis: - Spondylothisthesis - Kyphosis - Scheuermann's disease is the most common cause of pain in the thoracic and thoracolumbar regions of the back; - Klippel-Feil syndrome: - pain is usually due to hypermobility or instability of adjacent vertebral segment or to degenerative osteoarthrosis; - Diastematomyelia: - frequently associated with a cutaneous malformation overlying defect, is more likely to present w/ neurological abnormalities involving lower extremities, such as unilateral cavus foot or calf atrophy, rather than with back pain; ----------------------------------



Original Text by Clifford R. Wheeless, III, MD.