Baastrup’s disease: The kissing spine

Singla, Amit; Shankar, Vikas; Mittal, Samarth; Agarwal, AK; Garg, Bhavuk

doi:10.12998/wjcc.v2.i2.45

Cited by 19 publications

(22 citation statements)

References 10 publications

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“…Computed Tomography is suitable for visualizing these bony changes and may also show generalized degenerative changes in greater detail; however, neither CT nor plain films are suitable for demonstrating pathological changes in the soft tissues of the spine. Frequently, Baastrup’s disease is missed due to lack of knowledge and overexposure of the spinous processes [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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

Philipp

Baum

Grossberg

et al. 2016

Cureus

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Baastrup’s disease is a relatively common disorder of the vertebral column, characterized by low back pain arising from the close approximation of adjacent posterior spinous processes and resultant degenerative changes, most commonly at L4-L5. Though fairly common, Baastrup’s disease is overwhelmingly underdiagnosed and often missed due to a lack of knowledge and/or improper diagnostic techniques, leading to frequent mistreatment. We present a case of a 56-year-old man who presented with chronic, ongoing low back pain of several years duration. His pain was relieved by flexion of the spine, and aggravated by extension. Imaging studies revealed “kissing” posterior spinous processes, consistent with a diagnosis of Baastrup’s Disease. He was treated with subcutaneous steroid injections and showed considerable clinical improvement.

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Section: Discussionmentioning

confidence: 99%

“…Although it is by no means a rare disorder, Baastrup syndrome is frequently missed by clinicians due to lack of knowledge or poor imaging technique. As a result, this relatively common pathology is largely underdiagnosed and subsequently mistreated [ 6 - 7 ].…”

Section: Introductionmentioning

confidence: 99%

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

Philipp

Baum

Grossberg

et al. 2016

Cureus

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“…Surgery with either partial or total excision of the spinous processes does not always result in pain alleviation [ 13 ]. The moderate efficacy of surgical approaches led certain investigators to the theory that kissing spine syndrome is not an actual disease but rather a part of degenerative spinal changes, mainly spondylosis with osteophyte formation [ 10 , 13 ]. More recent studies suggest that Baastrup’s sign should raise the suspicion of a bursitis [ 11 ].…”

Section: Treatmentmentioning

confidence: 99%

Baastrup’s disease (kissing spines syndrome): a pictorial review

et al. 2015

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Excessive lordosis is a common finding and may produce mechanical pressure that causes repetitive strains of the interspinous ligament with subsequent degeneration and collapse. Baastrup’s disease (kissing spine syndrome) is a term referring to close approximation of adjacent spinous processes due to degenerative changes of the spine. Baastrup’s disease usually affects the lumbar spine, with L4-L5 being the most commonly affected level. There is higher occurrence at ages over 70 and no gender predilection. Symptoms include back pain with midline distribution that worsens during extension, is relieved during flexion and is exaggerated upon finger pressure at the level of interest. Diagnosis rests on clinical examination and imaging studies. The hallmark of imaging findings is the close approximation and contact of adjacent spinous processes, with all the subsequent findings including oedema, cystic lesions, sclerosis, flattening and enlargement of the articulating surfaces, bursitis and occasionally epidural cysts or midline epidural fibrotic masses. Proposed therapies include conservative treatment, percutaneous infiltrations or surgical therapies such as excision of the bursa or osteotomy. The purpose of this study is to illustrate the spectrum of imaging findings in Baastrup’s disease and to emphasise upon including the syndrome in the list of potential causes of low-back pain.Teaching Points• Baastrup’s disease refers to close approximation of adjacent spinous processes.• Diagnosis of Baastrup’s disease is verified with clinical examination and imaging studies.• Contact of adjacent spinous processes results in oedema, sclerosis, flattening and enlargement.• Proposed therapies include conservative treatment, percutaneous infiltrations or surgical therapies.

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“…11,15 Treatment may be conservative with analgesics and muscle relaxants and physical therapy. 8 To the best of our knowledge, iatrogenic Baastrup's Syndrome causing recurrent low back pain following anterior lumbar interbody surgical procedures has not been previously described. In this manuscript we present a case series in which Baastrup's Syndrome occurred after anterior spine surgery.…”

Section: Introductionmentioning

confidence: 96%

“…[1][2][3][4] Baastrup's Syndrome is a condition, which occurs when there is abnormal contact between two adjacent spinous processes with resultant back pain. [5][6][7][8][9] The condition was first described by Baastrup in 1933 5 and recently has also been termed Kissing Spine Disease. 10 The frequency of Baastrup's Syndrome increases with age and has a peak of incidence of 81% among patients older than 80 years.…”

Section: Introductionmentioning

confidence: 99%