Veraart B E
Onze Lieve Vrouwe Gasthuis, Amsterdam.
Tijdschr Kindergeneeskd. 1988 Dec;56(6):279-88.
Although backpain during childhood is uncommon serious diseases feature high on the list of differential diseases. Often the correct diagnosis in the young is made late or missed in the first instance. During the adolescent period the incidence of backpain rises to include mechanical or osteochondritic conditions and the early problems of a degenerative back such as disc protrusion. It has to be stressed that infection and neoplasma although rare can be a cause of backache at any age. If after thorough investigation no abnormalities has been detected, one should keep in mind that serious mental problems can be the cause of backpain.
虽然儿童期背痛并不常见,但严重疾病在鉴别诊断疾病清单中占比很高。通常,年轻人的正确诊断往往较晚做出,或者一开始就被漏诊。在青少年时期,背痛的发病率上升,包括机械性或骨软骨性疾病以及退行性背痛的早期问题,如椎间盘突出。必须强调的是,感染和肿瘤虽然罕见,但在任何年龄都可能是背痛的原因。如果经过全面检查未发现异常,应记住严重的精神问题可能是背痛的原因。