儿童和青少年背痛的诊断与治疗：最新进展

The diagnosis and treatment of back pain in children and adolescents: an update.

作者信息

Glancy Gerard L

机构信息

Department of Orthopaedics, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA.

出版信息

Adv Pediatr. 2006;53:227-40. doi: 10.1016/j.yapd.2006.04.011.

DOI:10.1016/j.yapd.2006.04.011

PMID:17089869

Abstract

The conditions described for the most part are diagnosed by characteristic history, comprehensive physical examination, and selective laboratory and imaging studies. Most can be treated by nonoperative means. With the exception of tumors, surgical intervention is performed only after a thorough trial of conservative management. Should the diagnosis remain elusive or response to treatment less than expected, orthopedic referral is encouraged.

摘要

大部分所述病症通过典型病史、全面体格检查以及选择性实验室和影像学检查来诊断。大多数病症可用非手术方法治疗。除肿瘤外，只有在经过全面的保守治疗尝试后才进行手术干预。如果诊断仍不明确或对治疗的反应低于预期，建议转诊至骨科。