Baastrup's disease in the pediatric spine

Abstract

Baastrup's disease is an uncommon entity in the elderly spine and it is very rare in the pediatric age group. There are only few case reports in the literature containing Baastrup's disease in pediatric spine. Baastrup's disease is also known as kissing spine because the posterior spinous processes touch or “kiss” one another, characterized by enlarged posterior spinous projections with normal neuroforamina and normal spinal disk height. There are various pathological and etiological hypotheses behind Baastrup's disease. Backache is one of the most common causes of morbidity in these patients and but sometimes patient can be asymptomatic with or without swelling on the back. Here, we present a case of 10-year-old female child with silent swelling on low back region diagnose as Baastrup's disease.

Baastrup’s Disease in Pediatric Gymnasts

“…Although Baastrup’s disease may arise independently and idiopathically, most cases are associated with other degenerative changes such as a loss of disc height, spondylolisthesis, and spondylosis [ 2 , 6 , 11 ]. Unsurprisingly, Baastrup’s disease is more common in the elderly population and is relatively rare in the pediatric population [ 8 ]. In fact, the relationship between age and incidence is so significant in this disease that it is estimated that over 80% of cases occur among persons over the age of 80 [ 6 ].…”

“…The number of reported Baastrup’s disease cases in the pediatric population is extremely limited, with only a handful of cases described in the current literature. To our knowledge, there are only three instances where Baastrup’s disease in the pediatric population has been presented [ 8 , 10 ] (see Table 1 ).…”

“…The number of reported Baastrup's disease cases in the pediatric population is extremely limited, with only a handful of cases described in the current literature. To our knowledge, there are only three instances where Baastrup's disease in the pediatric population has been presented [8,10] (see Table 1). Roentgenograms (X-ray) and Magnetic resonance imaging (MRI) of lumbosacral spine showed enlarged and fusion of spinous processes of L1-L3 lumbar vertebrae, which were opposing each other [6].…”

“…The frequency of Baastrup’s disease shows a decade-on-decade increase with higher occurrences over 80 years of age; therefore, it is generally a very rare finding in pediatric patients [ 6 , 8 , 9 ]. As a result, there are only a limited number of case reports in the literature discussing Baastrup’s disease in children [ 8 , 10 ]. This is the first report of children undergoing interventional modalities for the treatment of back pain associated with Baastrup’s disease.…”

Full‐Endoscopic Approach Forchronic Low Back Pain from Baastrup's Disease: Interspinous Plasty

“…Singla et al 20 . reported a patient who was managed conservatively with muscle relaxants and analgesics for 1 week and then started physiotherapy with spinal flexion exercises at regular intervals.…”