Proximate spinal disease is not exclusive to adults, and adolescents may also be troubled by it. Because the body is still in the growth and development stage, the behaviour of direct spinal disease is similar and unique to that of adults, and therefore there are diagnostic criteria specific to adolescents. Accurate and timely diagnosis is essential for the control of the condition of adolescent patients and their future development.
Clinical Symptoms: 1. A back pain is one of the most common symptoms: the pain in the back is mostly in the hips or hips, it can spread upwards to the spine, the pain is often invisible, there is an apparent “morning strangulation”, i.e. when you wake up in the morning, the back is rigid and painful, and the activity is eased, but the pain is aggravated by excessive activity. In addition to back pains, pain and swelling may occur in the outer joints, such as knees, ankles and hips, which may occur alone or in sequence with or at the same time as spinal symptoms. For example, some young people may suffer from knee joint pains before their backs become uncomfortable. 2. Accompanying point inflammation: this is a more specific manifestation of direct spinal disease among adolescents. Attached are the parts of the bone that are attached to the muscles, the radon, the joints, etc., which, with inflammation, cause pain and swelling. It’s common to be attached to points with heels, soles, sepsis, pelvis edges, etc. For example, adolescent patients may complain of foot and pain, especially when it increases after standing or walking for a long time, which may be a sign of inflammation.
Video screening: 1. Magnetic Resonance Imaging (MRI): The MRI is of great value for the early diagnosis of youth ‘ s direct spinal disease. It can clearly show changes in osteoporosis, such as osteoporosis, glucosis, epidemiology, etc., and MRI can detect early pathologies and provide for early diagnosis and timely treatment, even if the osteoporosis X-line and CT tests have not detected significant bone changes. 2. X-ray and CT screening: Although MRI is sensitive to early medical changes, X-ray and CT screening are also essential. X-rays can observe changes in the overall form of the joints, the faults of the joints and the bone structure, and, as the disease progresses to a certain stage, they can show the characteristics of the blurred edges of the joints, bone damage and the integration of the joints. CT examinations show more clearly than the X line the microbone changes of the platinum joints, such as slight erosion, hardening, etc., and help to assess more accurately the severity of the condition and the progress of the disease.
1. HLA – B27 Test: HLA – B27 has a high positive rate among young people who have a strong direct spinal column. It should be noted, however, that positive results are not equivalent to diagnosis, as there is also a percentage of HLA-B27 positives in the regular youth population who are at a relatively high risk of disease. So HLA-B27 test results need to be combined with a combination of clinical symptoms and video-testing. Inflammatory indicators: Blood sunk (ESR) and C Reaction protein (CRP) are commonly used indicators that reflect the extent of inflammation in the body. These two indicators are usually higher during the period of intense direct spinal disease among adolescents, which can help doctors to determine whether they are active, monitor the effects of treatment and predict the recurrence of the disease. For example, when treatment works, blood sunk and C reaction proteins gradually drop to normal levels. The International Association for the Assessment of Spinal Arthritis (ASAS) has developed classification criteria for young people for spinal arthritis (including direct spinal arthritis): diagnosis can be considered for one or more of the other features of HLA-B27 positive, inflammated, and other characteristics, such as the presence of symptoms such as back pain or external arthritis, as well as the performance of the arthritis arthritis as shown by the MRI or X-line/CT.
Early diagnosis and normative treatment can effectively control the development of young people ‘ s direct spinal disease, reduce complications and give young people a healthy future.
