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Erschienen in:
04.04.2018 | CE - MEDICAL ILLUSTRATION
Kissing spines: an underdiagnosed cause of low back pain
Erschienen in: Internal and Emergency Medicine | Ausgabe 6/2018
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A 49-year-old woman was seen in her family physician’s office for chronic ongoing midline lower back pain, worse with extension, which was aggravated by recent heavy lifting. The patient’s past medical history was unremarkable, and she denied any history of intravenous drug use, constitutional symptoms, or trauma. The patient’s physical examination demonstrated a normal range of motion, with pain on extension and mild midline tenderness at L2–L3 on palpation. Radiographs of the lumbar spine were performed (Fig. 1), demonstrating early changes of Baastrup’s syndrome with close approximation and enlargement of the spinous processes with associated sclerosis from L2 to L5.
Fig. 1
a Lateral radiograph of the lumbar spine illustrating the close approximation and enlargement of the spinous processes from L2 to L5 with associated sclerosis (arrows), pathognomonic of Baastrup’s. b Lateral radiograph of the lumbar spine in a different patient of the same age illustrating the typically observed appearance and interspinous distance of the lumbar spinous processes (arrow) and lack of spinous process sclerosis
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