Baastrup syndrome

Case contributed by Dr Levente István Lánczi

Presentation

Long time history of lumbar and lower extremity pain.

Patient Data

Age: 67 year old
Gender: Female
X-ray

X-ray

Spondylotic and spondyloarthrotic signs on the lumbar spine.

Anterolisthesis of 4th lumbar vertebra.

Contact of adjacent spinous processes.

CT

CT proves the "kissing" spines, with advanced degenerative signs, inculding vacuum phenomena between 2nd and 3rd lumbar vertebral spinous processes and necrotic signs between 3rd and 4th lumbar vertebral spinous processes.

Case Discussion

Kissing spinous processes can be regular additional findings on degenerative lumbar spine imaging studies and can cause lower back pain together with other lesions - such as in this case with anterolisthesis, spondylosis and spondyloarthritis combined.

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Case information

rID: 48508
Case created: 11th Oct 2016
Last edited: 20th Apr 2017
System: Spine
Inclusion in quiz mode: Included

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