Rubin R C, Jacobs G B, Cooper P R, Wille R L
Childs Brain. 1977;3(3):180-90. doi: 10.1159/000119665.
Intractable low back pain in children is often due to disc space infections. The clinical presentation, diagnostic workup, and treatment of four cases are presented. Symptoms often occur well before radiographic findings are evident. The diagnosis can only be made by a high degree of suspicion and repeated X-rays. Antecedent causes, such as urinary infection or intravenous administration of narcotics were lacking in this group. Fever or a preceding febrile illness was often, but not invariably, present. Percutaneous biopsies were not usually helpful. Myelography in each instance was normal. Bed rest reduced but did not alleviate the back pain. The institution of appropriate antibiotic therapy resulted in a prompt diminution of pain.
儿童顽固性腰痛通常由椎间盘间隙感染引起。本文介绍了4例患者的临床表现、诊断检查及治疗情况。症状往往在影像学表现明显之前就已出现。只有高度怀疑并反复进行X光检查才能做出诊断。该组患者不存在诸如泌尿系统感染或静脉注射麻醉品等前驱病因。发热或先前的发热性疾病常常存在，但并非总是如此。经皮活检通常并无帮助。每例患者的脊髓造影均正常。卧床休息可减轻但不能缓解背痛。采用适当的抗生素治疗后疼痛迅速减轻。
