Radiological valuation of the painful column in the children

Congress:

ESSR 2015

Poster Number:

P-0057

Type:

Educational Poster

Keywords:

Pathology, Developmental disease, Athletic injuries, Diagnostic procedure, MR, CT, Conventional radiography, Musculoskeletal system, Musculoskeletal spine, Musculoskeletal bone

Authors:

M. J. Ereño Ealo¹, R. M. Rodrigo Del Solar¹, F. Saez¹, O. L. Casado¹, E. Llopis San Juan²; ¹Bilbao/ES, ²Alzira-Valencia/ES

DOI:

10.1594/essr2015/P-0057

DOI-Link:

https://dx.doi.org/10.1594/essr2015/P-0057

Fig. 1

Fig. 3: Development of spinal curves. C-shaped vertebral (A). The cervical curvature...

Fig. 2: Perfect Balance: The vertical line through the center of gravity should cut the...

Fig. 5: Functional information. This spinal instability was visible only when the...

Learning objectives

Sports and activities of daily life contribute to spinal injuries in young patients. This review excludes an exhaustive analysis of inflamatory, tumoral and traumatic injuries. The aim of this presentation is: The study of spine overuse injuries The study of frequent spine growth injuries The study of the radiological contribution to the diagnosis.

Background

In general, a complaint of back pain in a child is considered uncommon. But the reality is different. By the age of 15, 20-70% of children will report back pain. When a body is acted upon by gravity, all the mass particles of which the body is composed experience a force of attraction directed toward the Earth's center. The resultant force of all of these small attractive forces is the body's weight and the location at which the resultant force is assumed to act is...

Imaging findings OR Procedure Details

JUVENIL KYPHOSIS (SCHEUERMANN'S DISEASE) Kyphosis in the thoracic spine means exaggerated kyphotic angle from the spine's normal kyphotic curve. Kyphosis is classified as either postural or structural. Postural means the kyphosis is attributed to poor posture, usually presenting a smooth curve, which can be corrected by the patient. Structural kyphosis is caused by an abnormality affecting the bones, intervertebral discs, nerves, ligaments, or muscles Posterior thoracic convexity is normally 20° to 40°. Dorsal kyphosis over 40 ° with involvement of at least 4-5 vertebrae and...

Conclusion

To take home: Spinal regular examinations for children are important , specially for teenagers. The radiologist should contribute to the diagnosis including precise data in the reports of the juvenile spinal injuries. New MRI sequences are essential to the control and the diagnosis of Spondylolisis.

References

1. Le Huec JC, Saddiki R, Franke J. Equilibrium of the human body and the gravity line: the basics.Eur Spine J. 2011 Sep; 20(Suppl 5): 558–563. 2. Bernhardt M, Bridwell KH (1989) Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction. Spine 14:717-21. 3. Findlay A, Conner AN, Connor JM (1989) Dominant inheritance of Scheuermann's juvenile kyphosis. J Med Genet 26:400-403. 4. Ippolito E, Ponsetti IV (1981) Juvenile kyphosis, histological and histochemical studies. J Bone Jt Surg...

Personal Information

Maria José Ereño Radiology Department Hospital of Galdácano. Vizcaya. Spain. Email: [email protected]