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Children born preterm are often exposed to painful invasive procedures. This study aimed to explore the relationship between being born preterm and self-report of spinal pain in pre-adolescence. This prospective study was based on the Danish National Birth Cohort and consisted of 47,063 11\u201314-year-olds. Data from the Danish National Birth Cohort were linked with national registers through Statistics Denmark. Analyses were performed as multiple logistic regression models estimating odds ratios and 95% confidence intervals. Spinal pain (neck, mid back, and\/or low back pain) was assessed using a subdivision of the Young Spine Questionnaire. Severe spinal pain was defined as having pain often or once in a while with an intensity of four to six on the Revised Faces Pain Scale. Inverse probability weighting was used to account for potential selection bias. Girls born very preterm (&lt;\u200934 full weeks of gestation) were less likely to report spinal pain (OR: 0.60; 95% CI: 0.40\u20130.93) compared with those term-born. The associations were weaker when examining moderate to severe spinal pain and when examining the three spinal regions separately. None of these was statistically significant.<\/jats:p><jats:p><jats:italic>Conclusion<\/jats:italic>: We found no associations for boys. In conclusion, this study indicates that girls born very preterm are seemingly less likely to have severe spinal pain in pre-adolescence than girls born at term.<jats:table-wrap><jats:table><jats:tbody>\n                    <jats:tr>\n                      <jats:td colspan=\"2\"><jats:bold>What is Known:<\/jats:bold><jats:italic>\u2022 Spinal pain is one of the largest disease burdens globally, and the evidence\u00a0regarding the etiology of spinal pain in children and adolescents\u00a0is limited.<\/jats:italic><jats:italic>\u2022 Repeated exposure to pain and stress in early life (i.e., being preterm) may cause alterations in pain sensitivity later in life.<\/jats:italic><\/jats:td>\n                    <\/jats:tr>\n                    <jats:tr>\n                      <jats:td colspan=\"2\"><jats:bold>What is New:<\/jats:bold><jats:italic>\u2022 Girls born very preterm (&lt; 34 full weeks of gestation) seem less likely to report severe spinal pain in pre-adolescence compared with girls born at full term.<\/jats:italic><jats:italic>\u2022 There is no association between gestational age and later experience of spinal pain in pre-adolescent boys.<\/jats:italic><\/jats:td>\n                    <\/jats:tr>\n                  <\/jats:tbody><\/jats:table><\/jats:table-wrap><\/jats:p>","DOI":"10.1007\/s00431-023-05264-x","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T14:01:46Z","timestamp":1697810506000},"page":"203-211","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The relation between preterm birth and self-reported spinal pain in pre-adolescence\u2014a study of 47,063 subjects from the Danish National Birth Cohort"],"prefix":"10.1007","volume":"183","author":[{"given":"Klara","family":"Kaltoft","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane Lykke","family":"Nielsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Marie Nybo","family":"Andersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8845-4204","authenticated-orcid":false,"given":"Anne Cathrine","family":"Falch-Joergensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"key":"5264_CR1","unstructured":"Kassebaum NJ, Arora M, Barber RM, Bhutta ZA, Brown J, Carter A, m.fl. 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The procedures used in this study adhere to the tenets of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical accordance"}},{"value":"Parents of the participants (<\u200918\u00a0years) signed an informed consent before participating in the study. No personal identifiable information was accessible.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Content to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}