Update on Pediatric Spine Imaging

被引:0
作者
Schatteman, Stijn [1 ]
Jaremko, Jacob [2 ]
Jans, Lennart [1 ]
Herregods, Nele [1 ,3 ]
机构
[1] Ghent Univ Hosp, Dept Radiol & Nucl Med, Ghent, Belgium
[2] Univ Alberta Hosp, Dept Radiol & Diagnost Imaging, Edmonton, AB, Canada
[3] Ghent Univ Hosp, C Heymanslaan 10, B-9000 Ghent, Belgium
关键词
spine; pediatric; imaging; LOW-BACK-PAIN; CHILDREN; POPULATION; SYRINX; CRMO;
D O I
10.1055/s-0043-1771333
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The spine is often difficult to evaluate clinically in children, increasing the importance of diagnostic imaging to detect a wide variety of spinal disorders ranging from congenital abnormalities to severe infections. Clinical history and physical examination can help determine whether imaging is needed and which imaging technique would be best. The most common cause for back pain, even in children, is muscular strain/spasm that does not require any imaging. However, red flags such as pain at age < 5 years, constant pain, night pain, radicular pain, pain lasting > 4 weeks, or an abnormal neurologic examination may require further investigation. Imaging can be of great value for diagnosis but must be interpreted along with the clinical history, physical examination, and laboratory findings to achieve an accurate diagnosis. We discuss imaging for the most common and/or important spine pathologies in children: congenital and developmental pathologies, trauma, infectious processes, inflammatory causes, and tumors.
引用
收藏
页码:566 / 579
页数:14
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