[Imaging of non-traumatic spinal diseases in children].
Pain is also the main symptom of spinal diseases in children. The younger the child, the more frequently organic causes are to be found, whereas in adolescents functional dorsalgia and lumbalgia are ubiquitous. Apart from the neonatal period, where ultrasound is used as the primary method for investigation of closed spinal dysraphia, radiography is still considered to be the first choice examination, which nevertheless should only be carried out after a thorough anamnesis and clinical examination. For targeted follow-up and especially exclusion of neoplasms, MRI is the method of choice in most cases. Computed tomography (CT) plays an important role preoperatively and postoperatively in corrective spine surgery and together with scintigraphy in the diagnostics of spondylolysis and some tumors such as osteoid osteoma. Important is the care of children with hereditary spinal malformations, especially dysraphias where the entire CNS may be affected as with the common association of myelomeningocele and Chiari II malformation with hydrocephalus and hydromyalia.
Pärtan
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Institut für Röntgendiagnostik, Donauspital im SMZ Ost, Wien. gerald.paertan@wienkav.at
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Artacker
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D000293:Adolescent; D001416:Back Pain / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D012600:Scoliosis / Q000175:diagnosis / Q000601:surgery; D012680:Sensitivity and Specificity; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000601:surgery; D013122:Spinal Diseases / Q000175:diagnosis* / Q000601:surgery; D016135:Spinal Dysraphism / Q000175:diagnosis* / Q000601:surgery; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014103:Torticollis / Q000175:diagnosis / Q000601:surgery; D014463:Ultrasonography