Baastrup’s Disease: An Often Missed Etiology for Back Pain

Philipp, Lucas; Baum, Griffin R.; Grossberg, Jonathan A; Ahmad, Faiz U.

doi:10.7759/cureus.465

Cited by 15 publications

(17 citation statements)

References 17 publications

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“…Treatment of Baastrup’s syndrome is an ongoing topic of debate; both conservative and surgical options are available for treatment. It may improve with localized interspinous injection of anesthetic and there are conflicting reports of improvement with partial excision of spinous process [8].…”

Section: Discussionmentioning

confidence: 99%

The steps until surgery in the management of Baastrup’s Disease (kissing spine syndrome)

Kerroum

Laudato

Suter

2019

Journal of Surgical Case Reports

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Baastrup’s disease is a rare condition of the vertebral column often misdiagnosed and wrongly treated due to poor knowledge, characterized by low back pain arising from the close approximation of adjacent posterior spinous processes and resultant degenerative changes. Diagnosis rests on clinical examination and detailed imaging studies. Proposed therapies include conservative treatment, percutaneous infiltrations or surgical therapies. We present the case of a 31-year-old man with persistent chronic lumbago for several years. In whom, the diagnosis of Baastrup’s disease was high suspected clinically, with a final surgical treatment despite the absence of inflammation on imaging studies, which allowed the diagnostic confirmation and the return to a normal social and professional life. We wish through this case, to expose the different steps of interventional diagnostic/therapeutical procedures until the surgical management in a clinical suspicion of Baastrup’s diseases with unclear radiological findings.

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Section: Discussionmentioning

confidence: 99%

The steps until surgery in the management of Baastrup’s Disease (kissing spine syndrome)

Kerroum

Laudato

Suter

2019

Journal of Surgical Case Reports

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“…Although little known, BD is often a source of low back pain. [ 7 8 9 10 ] This underestimation can derive from the fact that it is often accompanied with other degenerative lumbar spine disease. Modern imaging techniques have enabled us to know the peculiarities of this disorder.…”

Section: Discussionmentioning

confidence: 99%

Interlaminar lumbar device implantation in treatment of Baastrup disease (kissing spine)

Mostofi¹,

Moghadam²,

Peyravi

2018

J Craniovert Jun Spine

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Background:Baastrup disease (BD) is characterized by the degenerative changes of spinous processes and interspinous soft tissues. It is more common among aged persons. This disorder is a relatively common cause of low back pain. Its incidence is underestimated. A few studies have investigated BD epidemiology and proposed treatment efficacy. The aim of this paper is to establish impact and outcome evaluations of managing the patients with Baastrup disease who have been treated by implementing of floating interlaminar device (FID).Materials and Methods:Between January 2015 and September 2017, 47 patients have been operated by implementing of FID for BD in our Department of Neurosurgery.Results:Of the 47 patients, 20 were female and 27 were male with an average age of 51.78. On average, we followed the cases up to 11 months. The most frequent level of disorder was L4“L5 followed by L3“L4 level. The condition of 45 patients improved after surgery according to Oswestry low back pain score and 39 patients could return to their work.Conclusion:The results from our study corroborate that implementing of FID is a good alternative treatment for patient chronic low back pain due to BD This technique contributes to improving a better living situation for the patients given the correct indications.

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“…They concluded Baastrup's disease was part of the expected spinal degenerative changes with age and urged caution before diagnosing Baastrup's disease as the sole cause of back pain. A study with the use of interspinous distraction and stabilizing devices clearly demonstrated that stabilizing the interspinous space leads to cyst resolution and symptomatic relief, suggesting that cystic degenerative changes are a reaction to the instability resulting from deterioration and laxity of the degenerative interspinous ligament [ 14 - 15 ] (Figure 3 ).…”

Section: Reviewmentioning

confidence: 99%

“…If the predominant symptoms are related to neurogenic claudication or radiculopathy, then surgical decompression or stabilization may be necessary [ 16 ]. In the evaluation of clinical symptoms relative to radiologic findings on CT and MRI, it is critical to not over diagnose the underlying degenerative findings [ 15 ]. If the patient has only localized postural back pain with extension without any radicular findings or claudication, then initial use of simple interspinous infiltration or radiofrequency ablation within the interspinous ligament should be the appropriate initial treatment after failing conservative measures.…”

Section: Reviewmentioning

confidence: 99%

Baastrup’s Disease, Interspinal Bursitis, and Dorsal Epidural Cysts: Radiologic Evaluation and Impact on Treatment Options

Hatgis

Granville

Jacobson

2017

Cureus

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Baastrup’s disease or "kissing spines syndrome" was first described as a cause of lumbar pain before computerized tomography (CT) and magnetic resonance imaging (MRI) scanning existed. The diagnosis was based on x-ray studies, which showed that the spinous processes, especially in the lower lumbar spine, became approximated to each other and this was a generator of positional back pain. Biomechanically, the interspinous and supraspinous ligaments that are degenerated in Baastrup's disease normally contribute significantly to sagittal alignment. Ligamentous stenosis and anterolisthesis would be the expected pathology with deterioration of these ligaments and were initially described on CT and MRI in patients with symptoms similar to Baastrup's disease as isolated individual case reports. This review will highlight the relationship between the various clinical presentations, biomechanics, and overlap of Baastrup's disease with interspinous bursitis, segmental stenosis, and instability, presenting them as a disease continuum rather than as separate disease processes.

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Baastrup’s Disease: An Often Missed Etiology for Back Pain

Cited by 15 publications

References 17 publications

The steps until surgery in the management of Baastrup’s Disease (kissing spine syndrome)

The steps until surgery in the management of Baastrup’s Disease (kissing spine syndrome)

Interlaminar lumbar device implantation in treatment of Baastrup disease (kissing spine)

Baastrup’s Disease, Interspinal Bursitis, and Dorsal Epidural Cysts: Radiologic Evaluation and Impact on Treatment Options

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