Baastrup's sign is an orthopedic and radiographic disorder that often occurs in elderly humans. It is characterized by enlargement of the posterior spinous processes of the lumbarspine, with normal intervertebral disc height and neuroforamina. The reason it is referred to as kissing spine is because the posterior spinous processes 'kiss' and touch one another as the individual goes into lumbarextension, for example when flat on their stomach.[1][2] The condition has been seen in humans, canines, particularly with boxer breeds,[3] and certain breeds of horses.[4] This disorder is named after Christian Ingerslev Baastrup.
Baastrup's sign
Other names
Kissing spine
A diagram of a human vertebral body. With Baastrup's sign, the posterior spinous process, pointing down and to the left, is abnormally thickened due to repetitive microtrauma.
The salient feature of the disorder is the exuberant osteophytosis that occurs at posterior lumbar spinous processes. Osteophytes are coarse calcifications at the edges of bone that form due to repetitive stress and trauma. There is also atrophy and fatty replacement of paraspinal musculature, which can be detected by CT or MRI.[5]
Treatment
The malpositioning seen on radiography may not cause any symptoms at all. If there are related symptoms, however, therapeutic options include chiropractic care, physical therapy and nerve block injections. As a last resort, decompressive laminectomy may be attempted to relieve pain symptoms and remove the abnormally enlarged portions of bone.[6]
^Haig, A.; Harris, A.; Quint, D. (2001). "Baastrup's disease correlating with diffuse lumbar paraspinal atrophy: a case report". Archives of Physical Medicine and Rehabilitation. 82 (2): 250–252. doi:10.1053/apmr.2001.18052. PMID 11239319.
^"Baastrup's Disease - General Practice Notebook".
External links
Wikimedia Commons has media related to Baastrup's disease.
January 20, 2023
baastrup, sign, orthopedic, radiographic, disorder, that, often, occurs, elderly, humans, characterized, enlargement, posterior, spinous, processes, lumbar, spine, with, normal, intervertebral, disc, height, neuroforamina, reason, referred, kissing, spine, bec. Baastrup s sign is an orthopedic and radiographic disorder that often occurs in elderly humans It is characterized by enlargement of the posterior spinous processes of the lumbar spine with normal intervertebral disc height and neuroforamina The reason it is referred to as kissing spine is because the posterior spinous processes kiss and touch one another as the individual goes into lumbar extension for example when flat on their stomach 1 2 The condition has been seen in humans canines particularly with boxer breeds 3 and certain breeds of horses 4 This disorder is named after Christian Ingerslev Baastrup Baastrup s signOther namesKissing spineA diagram of a human vertebral body With Baastrup s sign the posterior spinous process pointing down and to the left is abnormally thickened due to repetitive microtrauma SpecialtyRheumatology Contents 1 Diagnosis 2 Treatment 3 References 4 External linksDiagnosis Edit Sagittal CT of the lumbar spine showing Baastrup s sign The salient feature of the disorder is the exuberant osteophytosis that occurs at posterior lumbar spinous processes Osteophytes are coarse calcifications at the edges of bone that form due to repetitive stress and trauma There is also atrophy and fatty replacement of paraspinal musculature which can be detected by CT or MRI 5 Treatment EditThe malpositioning seen on radiography may not cause any symptoms at all If there are related symptoms however therapeutic options include chiropractic care physical therapy and nerve block injections As a last resort decompressive laminectomy may be attempted to relieve pain symptoms and remove the abnormally enlarged portions of bone 6 References Edit Who named it Baastrup s sign Lin E 2008 Baastrup s disease kissing spine demonstrated by FDG PET CT Skeletal Radiology 37 2 173 175 doi 10 1007 s00256 007 0379 2 PMID 18087748 S2CID 1317481 Medical Dictionary Online Baastrup s Horse and Hound Explaining kissing spines Haig A Harris A Quint D 2001 Baastrup s disease correlating with diffuse lumbar paraspinal atrophy a case report Archives of Physical Medicine and Rehabilitation 82 2 250 252 doi 10 1053 apmr 2001 18052 PMID 11239319 Baastrup s Disease General Practice Notebook External links Edit Wikimedia Commons has media related to Baastrup s disease Retrieved from https en wikipedia org w index php title Baastrup 27s sign amp oldid 1041508165, wikipedia, wiki, book, books, library,
