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The Journal of Bone and Joint Surgery (American) 83:1552-1554 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Case Report

An Unusual Cause of Low-Back Pain in Children

A Report of Two Cases

Glenn Lipton, BA, Eric Riddle, RT, Leslie Grissom, MD, Temesgen Fitru, MD, Harold Marks, MD and S. Jay Kumar, MD

Investigation performed at the Alfred I. duPont Hospital for Children, Wilmington, Delaware
Glenn Lipton, BA
Eric Riddle, RT
Leslie Grissom, MD
Temesgen Fitru, MD
Harold Marks, MD
S. Jay Kumar, MD
Department of Orthopaedics, Alfred I. duPont Hospital for Children, 1600 Rockland Road, P.O. Box 269, Wilmington, DE 19899

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Persistent low-back pain in children that is not associated with trauma and is not relieved by two to three weeks of rest, modification of activity, or nonsteroidal anti-inflammatory medication is uncommon. If a child has persistent, unremitting low-back pain, a serious underlying pathological cause should be suspected and appropriately investigated and a thorough evaluation, including the recording of a medical history, clinical examination, and radiography, should be performed.

The purpose of the current report is to describe our findings in two patients, who were eight and thirteen years of age when they presented with pain in the low lumbar area secondary to a lesion in the sacrum. These two unusual cases highlight the importance of a careful clinical examination and imaging of the sacrum in the evaluation of low-back pain in children.


   Case Reports
 
Case 1. An eight-year-old girl presented with low-back pain that had had an acute onset. She was seen . . . [Full Text of this Article]


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