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Back Pain in an Eight-Year-Old Girl1

Fig. 1-A
An eight-year-old girl presented with an acute onset of low-back pain that continued for a week. The pain radiated to the groin and the anterior aspects of the thighs. She reported no tingling or numbness in the lower extremities and no bowel or bladder symptoms. Walking, sneezing, defecation, and laughing worsened the pain. Physical examination revealed no gross motor or reflex changes, but she had decreased pin-prick sensation on the sole of the left foot. Radiographs of the entire spine were made with lead-shielding of the gonadal area and were reported as normal (Fig. 1-A).

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Subsequently, an MRI examination was performed (Figs. 1-B and 1-C).
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Fig. 1-B

Fig. 1-C
 

What is the diagnosis?

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Copyright © 2003 by the The Journal of Bone and Joint Surgery, Inc.