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Baastrup’s Disease: An Often Missed Etiology for Back Pain
Abstract
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.
What causes baastrup's diseaseImaging 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.
Keywords: back pain, baastrup's disease
Introduction
Baastrup’s Disease (Baastrup syndrome) is a relatively common pathology affecting the vertebral column.
First formally described
- is baastrups disease painful
- what causes baastrups disease