Zacharia Balaji
Dept. Of Orthopedics, Govt. Medical College, Kozhikode, Kerala PIN 673008 India.
Indian J Surg Oncol. 2024 Mar;15(Suppl 1):137-147. doi: 10.1007/s13193-023-01729-5. Epub 2023 Mar 3.
In this narrative review, we aim to describe the clinical features, diagnosis, and management of common primary osseous tumors affecting the posterior elements of the spine in children. We searched PubMed, Mendeley, and Google Scholar using the terms primary osseous tumors of the spine in children, tumors of the posterior elements of the spine, and names of individual tumors. The clinical features, investigations, and treatment modalities were analyzed, and a narrative review of the topic was prepared. We have included 54 studies published in the last 20 years. The majority are isolated reports or case series. Tumors of the posterior elements of the spine are rare. They are common in children and the majority of them are benign. Pain and deformity are common presentations. It is better to perform thorough investigations of children complaining of back pain to rule out primary tumors of the posterior elements of the spine.
在这篇叙述性综述中，我们旨在描述影响儿童脊柱后部结构的常见原发性骨肿瘤的临床特征、诊断及治疗。我们使用“儿童脊柱原发性骨肿瘤”“脊柱后部结构肿瘤”以及各肿瘤名称等术语在PubMed、Mendeley和谷歌学术上进行了检索。对临床特征、检查及治疗方式进行了分析，并撰写了该主题的叙述性综述。我们纳入了过去20年发表的54项研究。大多数为个案报告或病例系列。脊柱后部结构肿瘤较为罕见。在儿童中较为常见，且大多数为良性。疼痛和畸形是常见表现。对于主诉背痛的儿童，最好进行全面检查以排除脊柱后部结构的原发性肿瘤。
