Abstract
Most cases of back axial pain of the child, are lying on the border between pathology and surgical medical specialties. Continuous pain lasting more than two weeks can be a sign of severe pathologies, imposing the urgent clinical, laboratory and imaging investigation. It identifies several causes that can produce axial back pain in childhood: Scheuermann’s disease, symptomatic scoliosis (secondary), spondylolysis, spondylolisthesis, spondylodiscitis, sacroileitis, fractures of the column, spine tumors and rheumatic spondyloarthropathies.
Highlights
Most cases of back axial pain of the child, are lying on the border between pathology and surgical medical specialties
Congruent to the international classifications the algic syndrome within the spine diseases is included in the 13th group
In the contemporary medical literature the vertebrogenic algic syndrome, with any kind of affection of the peripheral nervous system is concedered as a pathology of the locomotive system
Summary
Most cases of back axial pain of the child, are lying on the border between pathology and surgical medical specialties. Testemitanu” from Chisinau, during two years (2014 and 2015) were examined orthopedic 1500 children between 7-18. The basic radiological methods in the diagnosis of back pain and scoliosis, well known and widely used in pediatric orthopedics is not recommended for examination in mass and dynamic monitoring of children and adolescents, due to high levels of carcinogenic risk to growing body. Scheuermann disease [4], framed in the avascular bone necrosis group, with unknown cause, it is the most common disease that is accompanied by pain spine in adolescents.
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