The Journal of Bone and Joint Surgery (American). 2007;89:79-97.
doi:10.2106/JBJS.F.00475
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Infection and Tumors of the Spine in Children

John P. Dormans, MD and Leslie Moroz, BA

Corresponding author:
John P. Dormans, MD
Division of Orthopaedic Surgery, 2nd Floor, Wood Building, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104-4399

The first 150 words of the full text of this article appear below.


   Introduction
 
Even though primary infections and tumors of the spine are rare in children, orthopaedic surgeons must be aware of the characteristic presentation of these conditions to ensure a timely and appropriate workup. The most common presenting symptom among this group of patients is back pain, a ubiquitous and nonspecific complaint. Although the differential diagnosis for children with back pain is broad, a higher index of suspicion should be maintained for children than for adults because structural pathology is more likely to be the cause of back pain in children. The information gained from a detailed history and physical examination as well as from a careful assessment of imaging studies usually enables a physician to narrow the differential diagnosis and to suspect an infection or spinal tumor in children. A thorough initial examination and early imaging studies facilitate the planning of appropriate further work-up, imaging, biopsy, and management. When tumor or . . . [Full Text of this Article]


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