Kemta Lekpa Fernando, Eloundou Paul, Moulion Tapouh Jean Roger, Simeni Njonnou Sylvain Raoul, Fojo Talongong Baudelaire, Same Bebey Francine, Megne Tamo Estelle, Noukeu Diomède, Enyama Dominique, Abouame Palma Haoua, Sime Tchouamo Arielle Annick, Namme Luma Henry, Ngandeu-Singwe Madeleine, Choukem Simeon Pierre
Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
Department of Internal Medicine, Douala General Hospital, Douala, Cameroon.
Front Pediatr. 2024 Jul 2;12:1424391. doi: 10.3389/fped.2024.1424391. eCollection 2024.
Studies exploring the clinical and imaging characteristics of juvenile-onset back pain (JOBP) are scarce. The purpose of this study was to assess the clinical presentation, imaging findings, and factors associated with JOBP.
A retrospective record-based study was conducted among all pediatric cases presenting to the Rheumatology unit of the Douala General Hospital, Cameroon, from January 2014 to December 2023. The study did not include children whose back pain began after 16 years of age.
Of the 216 records of patients under 18 examined, 67 children (31 girls) were diagnosed with JOBP. The median age was 15 [13-16] years. More than two-third of the children included in this study had chronic pain ( = 46; 68.65%). Pain was mild to moderate in intensity in 48 children (71.6%). Radiculopathy was present in 10 children (14.92%). The most common location of back pain was the lumbar region ( = 64; 95.52%). Some children experienced pain in more than one location. The location of the pain was not associated with gender, duration of the pain, radiculopathy, or practice of a competitive sport (> 0.05). Musculoskeletal abnormalities on imaging were found in 38 children (62.29%). In multivariate analysis, peripheral joint involvement [aOR = 0.253 (0.073-0.878); = 0.030] and mild pain intensity [aOR = 0.077 (0.014-0.422); = 0.003], were independently associated with the presence of musculoskeletal abnormalities on imaging.
JOBP affects a third of children and adolescents of our clinic population. The common musculoskeletal abnormalities found on spine imaging are disc diseases and scoliosis.
探索青少年起病性背痛（JOBP）临床及影像学特征的研究较少。本研究旨在评估JOBP的临床表现、影像学表现及相关因素。
对2014年1月至2023年12月在喀麦隆杜阿拉总医院风湿病科就诊的所有儿科病例进行一项基于记录的回顾性研究。该研究不包括背痛始于16岁以后的儿童。
在检查的216例18岁以下患者记录中，67例儿童（31名女孩）被诊断为JOBP。中位年龄为15[13 - 16]岁。本研究中超过三分之二的儿童患有慢性疼痛（n = 46；68.65%）。48例儿童（71.6%）疼痛程度为轻至中度。10例儿童（14.92%）存在神经根病。背痛最常见的部位是腰椎区域（n = 64；95.52%）。一些儿童在不止一个部位疼痛。疼痛部位与性别、疼痛持续时间、神经根病或参加竞技运动无关（P>0.05）。38例儿童（62.29%）影像学上存在肌肉骨骼异常。多因素分析中，外周关节受累[aOR = 0.253（0.073 - 0.878）；P = 0.030]和轻度疼痛强度[aOR = 0.077（0.014 - 0.422）；P = 0.003]与影像学上肌肉骨骼异常的存在独立相关。
JOBP影响我们门诊三分之一的儿童和青少年。脊柱影像学上常见的肌肉骨骼异常是椎间盘疾病和脊柱侧弯。
