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Tumors and Tumor-like Conditions of the Spine in Children

Dr. Garg is Resident, Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO. Dr. Dormans is Chief, Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, and Professor of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Garg and Dr. Dormans.

Reprint requests: John P. Dormans, MD, Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Wood Building, 2nd Floor, Philadelphia, PA 19104.

Tumors and tumor-like conditions of the spine, although rare, should be included in the differential diagnosis of infants and children with back pain. Skeletal pathology is more frequently the cause of back pain in children than in adults. Although most tumors and tumor-like conditions of the spine in children are benign, many require surgery. Children with malignant tumors of the spine (with the exception of leukemia and lymphoma) may require multimodality therapy, including surgery, to achieve long-term cure. Advances in imaging, surgical technique, surgical technology, and adjuvant therapy have led to improvements in diagnosis and treatment and, thus, outcomes. In many cases, however, early and accurate diagnosis is often possible based on only clinical history, physical examination, and plain radiographic imaging.

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