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Pediatric Back Pain
- Back Pain in PrePubertal Children is rare and often due to serious underlying disorder
- Infection (diskitis or osteomyelitis)
- Malignancy
- Osteoma, Osteoblastoma
- Histiocytosis X
- Lymphoma, Leukemia
- Ewing Sarcoma
- Neuroblastoma, Spinal Cord Glioma
- Back Pain in adolescent children is more likely to be due to muscular skeletal injury (as with adults)
- Classified as chronic back pain (greater than 4 weeks duration) in up to 13%
- Red Flags for Serious Underlying Disorders
- <4yrs of age
- Back Pain causing functional disability (child not willing to play)
- Fever
- Neurologic Abnormality (get the child undressed and do a good neuro exam).