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More serious pathology, including malignancy and infection, needs to be excluded when there is associated systemic illness. Clinical evaluation and management may be difficult and always requires a thorough history and physical examination. Diagnostic imaging is obtained when symptoms are persistent or severe. Imaging is used to reassure the patient, relatives and carers, and to guide management.<\/jats:p>\n                  <jats:p>Cite this article: Bone Joint J 2014;96-B:717\u201323.<\/jats:p>","DOI":"10.1302\/0301-620x.96b6.33075","type":"journal-article","created":{"date-parts":[[2014,6,2]],"date-time":"2014-06-02T08:31:41Z","timestamp":1401697901000},"page":"717-723","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":39,"title":["Back pain in children and adolescents"],"prefix":"10.1302","volume":"96-B","author":[{"given":"F.","family":"Altaf","sequence":"first","affiliation":[{"name":"Royal National Orthopaedic Hospital, Spinal\rSurgical Unit, Brockley Hill, Stanmore\rHA7 4LP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. K. 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