December 1987

Back Pain and Spinal Deformity in Cystic Fibrosis

Author Affiliations

From the Divisions of Pediatric Orthopedic Surgery (Dr Gamble, Ms Rose, and Mr Schultz) and Pediatric Pulmonary Diseases (Dr Lewiston), Childrens Hospital at Stanford, Palo Alto, Calif.

Am J Dis Child. 1987;141(12):1313-1316. doi:10.1001/archpedi.1987.04460120079039

• Back pain is a common complaint of individuals with cystic fibrosis (CF). We studied back pain in our patient population in three ways: a questionnaire, an orthopedic evaluation, and a survey of chest roentgenograms. Fortyseven patients with CF reported back pain as compared with seven controls. Patients with CF showed decreased muscle strength and mobility in the trunk, chest, and shoulders. The incidence of structural kyphosls was only 8.7%, but many had vertebral wedging. Much of the back pain may be due to postural abnormalities or to vertebral wedging, not fixed structural kyphosis.

(AJDC 1987;141:1313-1316)