Lumbar Interspinous Bursitis (Baastrup Disease) in a Symptomatic Population

Maes, Robbert M.; Morrison, William; Parker, Laurence; Schweitzer, Mark E.; Carrino, John A.

doi:10.1097/brs.0b013e318169614a

Cited by 84 publications

(72 citation statements)

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“…Our observations are consistent with the notion that the mechanical back pain that is usually associated with Baastrup's disease is actually secondary to the degenerative spine disease that often accompanies Baastrup's disease, such as disc degeneration, spinal stenosis, and spondylolisthesis, etc. [2,7]. Indeed, Maes suggested [7] in 2008 that we should ''consider lumbar interspinous bursitis as Baastrup's sign instead of Baastrup's disease.…”

Section: Discussionmentioning

confidence: 99%

“…[2,7]. Indeed, Maes suggested [7] in 2008 that we should ''consider lumbar interspinous bursitis as Baastrup's sign instead of Baastrup's disease. ''…”

Section: Discussionmentioning

confidence: 99%

“…The causal relationship between this condition and clinical back problems remains unclear [1,3,5,7]. In fact, it has been shown that pain improves after surgical excision of the spinous process [2] or the injection of local anesthetic agents [8].…”

Section: Introductionmentioning

confidence: 99%

“…In fact, it has been shown that pain improves after surgical excision of the spinous process [2] or the injection of local anesthetic agents [8]. However, the possibility has been raised that Baastrup's disease may not actually be a disease entity, but is rather just one of a spectrum of degenerative spinal diseases [2,7,10], because it is usually associated with various degenerative spinal pathologies [2,7].…”

Section: Introductionmentioning

confidence: 99%

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Posterior epidural fibrotic mass associated with Baastrup’s disease

et al. 2010

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A few reports have demonstrated rare cases of Baastrup's disease that involve epidural cysts that cause dural compression. However, there have been no reports of a midline epidural fibrotic mass being associated with Baastrup's disease. A 60-year-old man presented with neurogenic claudication that had lasted for 5 years. Radiography showed anterolisthesis at the L4-L5 level, magnetic resonance imaging demonstrated severe stenosis due to a posterior noncystic mass, and the linear fluid signal tracked into the posterior epidural space at the L4-L5 level. A cleft in the ligamentum flavum was identified by probe at surgery, and this enabled the probe to be inserted into the epidural space without excising ligamentum flavum. Histological analysis showed that the fibrotic mass consisted of a collagen matrix that had a cystic component and exhibited a peripheral inflammatory reaction. This report shows that it is possible for an extended epidural cystic mass that occurs in Baastrup's disease to change over time through peripheral inflammation into a cyst-containing fibrotic mass.

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Section: Discussionmentioning

confidence: 99%

“…[2,7]. Indeed, Maes suggested [7] in 2008 that we should ''consider lumbar interspinous bursitis as Baastrup's sign instead of Baastrup's disease. ''…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Posterior epidural fibrotic mass associated with Baastrup’s disease

et al. 2010

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“…Impingement of spinous processes has also been recognized in man as Baastrup disease or kissing spines syndrome. In man the clinical significance remains unresolved (Maes 2008, Kwong 2010. Clinical signs of back-pain include reduced performance, ill-defined lameness (particularly in the pelvic limbs), bucking, resistance to saddling and sacro-iliac pain (Jeffcott 1980, Walmsley 2002, Dyson 2003, Landman 2004, Zimmerman 2012.…”

Section: Introductionmentioning

confidence: 99%

The radiographic frequency of impingement of the dorsal spinous processes at purchase examination and its clinical significance in 220 warmblood sporthorses

Graaf¹,

Enzerink²,

Oijen³

et al. 2015

PHK

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Summary: A retrospective study of 220 horses was performed to investigate the association between the clinical signs and the radiological findings of impinging dorsal spinous processes (DSPs) in warmblood sporthorses. For this purpose radiographic records were assessed to identify all horses that had undergone radiographic examination of the back as part of a pre-purchase examination between January 2009 and December 2012. The dorsal spinous processes of 239 horses were assessed and each dorsal spinous process was individually graded (0 -3) using a modified 4-group grading system appropriate for routine grading of dorsal spinous processes as part of a pre-purchase examination. Fifty-five percent (n =121) had no radiological abnormalities of the DSPs (grade 0). However, 26,4 % had at least one DSP with grade 1 impingement, 11,8 % had at least one DSP with grade 2 and 6,8 % had at least one DSP with grade 3. Follow-up information was obtained by telephone responses from owners or trainers. The horses were assessed at a mean follow up time after pre-purchase examination of 25,19 ±12,52 months. Based on the clinical signs included in the questionnaire answers horses were divided into two groups; i) thoracolumbar back pain and ii) no thoracolumbar back pain. Only 11,5 % (N = 23) of the 220 horses had shown thoracolumbar back pain. There was no significant association between gender, age or discipline and clinical signs of thoracolumbar back pain. High maximum DSP grade is associated with an increased risk of clinical signs. The specificity of a grade 3 DSP on radiographic screening at pre purchase examinations is high, however the sensitivity is low. This suggests that there is a high risk of clinical signs in horses with grade 3 DSPs and no warranty can be offered for absence of clinical signs for grade 0,1,2.Keywords: back pain / horse / kissing spines / pre purchase / radiology Citation: de Graaf K., Enzerink E., van Oijen P., Smeenk A., Dik K. J. (2015) The radiographic frequency of impingement of the dorsal spinous processes at purchase examination and its clinical significance in 220 warmblood sporthorses. Pferdeheilkunde 31, 461-468

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Lumbar lordosis of extinct hominins

Been¹,

Gómez‐Olivencia²,

Kramer³

2011

American J Phys Anthropol

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The lordotic curvature of the lumbar spine (lumbar lordosis) in humans is a critical component in the ability to achieve upright posture and bipedal gait. Only general estimates of the lordotic angle (LA) of extinct hominins are currently available, most of which are based on the wedging of the vertebral bodies. Recently, a new method for calculating the LA in skeletal material has become available. This method is based on the relationship between the lordotic curvature and the orientation of the inferior articular processes relative to vertebral bodies in the lumbar spines of living primates. Using this relationship, we developed new regression models in order to calculate the LAs in hominins. The new models are based on primate group-means and were used to calculate the LAs in the spines of eight extinct hominins. The results were also compared with the LAs of modern humans and modern nonhuman apes. The lordotic angles of australopithecines (41° ± 4), H. erectus (45°) and fossil H. sapiens (54° ± 14) are similar to those of modern humans (51° ± 11). This analysis confirms the assumption that human-like lordotic curvature was a morphological change that took place during the acquisition of erect posture and bipedalism as the habitual form of locomotion. Neandertals have smaller lordotic angles (LA = 29° ± 4) than modern humans, but higher angles than nonhuman apes (22° ± 3). This suggests possible subtle differences in Neandertal posture and locomotion from that of modern humans.

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Lumbar Interspinous Bursitis (Baastrup Disease) in a Symptomatic Population

Cited by 84 publications

References 10 publications

Posterior epidural fibrotic mass associated with Baastrup’s disease

Posterior epidural fibrotic mass associated with Baastrup’s disease

The radiographic frequency of impingement of the dorsal spinous processes at purchase examination and its clinical significance in 220 warmblood sporthorses

Lumbar lordosis of extinct hominins

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