Fluoroscopically-Guided Injections to Treat
“Kissing Spine” Disease

Background: Any spine structure that is innervated by afferent nociceptive nerve fibers is a potential pain generator. In the lumbar spine, the most studied pain generators include: sacroiliac joints, the zygapophysial joints, the intervertebral discs, myofascial structures. Anomalous lumbosacral articulations, the spinous processes, and lumbar spine osteophytes are less commonly reported. Objective: To describe the diagnostic and therapeutic features of “kissing spine” disease or Baastrup’s Sign with particular attention to MRI findings and fluoroscopicallyguided injection therapy. Design: A series of 3 patients with axial low back pain presented with exam findings and MRI changes suggestive of pain emanating from adjacent spinous processes that appeared to be in direct contact or very closely opposed. This has been described in the literature as “kissing spine” disease or Baastrup’s sign. Fluoroscopically-guided injections were performed and the responses were studied. Results: The 3 patients had MRI findings consisting of inflammation and/or edema in the spinous processes and surrounding soft tissues. Fluoroscopically-guided injections provided pain relief in all 3 patients. One patient with recurrent pain eventually underwent successful surgical resection of the involved spinous processes. Conclusion: Painful adjacent and closely opposed spinous processes can be a source of axial low back pain. We have described MRI features and the responses to fluoroscopically-guided injections in 3 patients with this condition. Key words: Baastrup’s, kissing spine, spine injection

Download Full-text

Magnetic Resonance Imaging Findings Among Young Adults with Low Back Pain at Nsambya Hospital

10.21203/rs.3.rs-820253/v1 ◽

2021 ◽

Author(s):

Komakech Richard Lukecha ◽

Erem Geoffrey ◽

Mubuuke A. Gonzaga ◽

Bugeza Sam

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Young Adult ◽

Clinical Features ◽

Adult Patients ◽

Low Back ◽

Mri Findings ◽

Mri Features ◽

Disc Bulge

Abstract Back ground: Studies on MRI findings among patients with LBP have been conducted; especially among adolescents and young adult population in developed countries. However, MRI lumber spine evaluation findings in young adult patients with low back pain in Uganda is not known. The purpose of this study was to determine the MRI findings and their correlation to clinical features in young adult patients with low back pain in Nsambya hospitalMethods: This was a descriptive cross sectional study. One hundred and fifty-seven patients with low back pain in the 18 - 39year age group underwent MRI lumbar spine evaluation. The MRI changes in the lumbar spine and correlation to clinical features were determined. Correlation was assessed by Pearson chi square tests (Fisher’s exact test) and p-values reported at 0.05 level of significance. Results: Of the 157 patients 129 (82.2%) had severe pain, whereas ninety (57.3%) had pain that had lasted more than 10 weeks. Sixty-five (41.4%) patients were found to have MRI evidence of disc desiccation, majority (61%) of whom had multiple level disease, mostly involving the lowest 2 disc levels. Facet joint arthropathy (47.8%), marginal osteophyte (31.8%) and disc contour irregularity [disc bulge] (31.2%) were other common MRI features seen. There was an association between duration of pain and limb weakness, and development of marginal osteophytes. There was also association between clinical presentation and disc bulge. Conclusions: The MRI finding of disc degeneration among young adult patients with LBP is higher than reported. Age and pain distribution are predictors of developing disc desiccation.

Download Full-text

Longitudinal associations between incident lumbar spine MRI findings and chronic low back pain or radicular symptoms: retrospective analysis of data from the longitudinal assessment of imaging and disability of the back (LAIDBACK)

BMC Musculoskeletal Disorders ◽

10.1186/1471-2474-15-152 ◽

2014 ◽

Vol 15 (1) ◽

Cited By ~ 23

Author(s):

Pradeep Suri ◽

Edward J Boyko ◽

Jack Goldberg ◽

Christopher W Forsberg ◽

Jeffrey G Jarvik

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Chronic Low Back Pain ◽

Low Back ◽

Longitudinal Assessment ◽

Mri Findings ◽

Longitudinal Associations ◽

Radicular Symptoms ◽

Spine Mri

Download Full-text

Risk Factors of Postoperative Low Back Pain for Lumbar Spine Disease

World Neurosurgery ◽

10.1016/j.wneu.2016.07.010 ◽

2016 ◽

Vol 94 ◽

pp. 248-254 ◽

Cited By ~ 8

Author(s):

Jiaao Gu ◽

Fulin Guan ◽

Lin Zhu ◽

Guofa Guan ◽

Zhiyong Chi ◽

...

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Low Back ◽

Spine Disease

Download Full-text

Diagnosis of Low Back Injury Using Strength Measurement

Proceedings of the Human Factors Society Annual Meeting ◽

10.1177/154193128402800517 ◽

1984 ◽

Vol 28 (5) ◽

pp. 460-464

Author(s):

Avinash M. Waikar ◽

Robert E. Schlegel

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Healthy Subjects ◽

Diagnostic Technique ◽

Low Back ◽

Strength Measurement ◽

Low Back Injuries ◽

Partial Success ◽

Spine Disease

A study was conducted to investigate the feasibility of using strength measurement as a diagnostic technique for assessing low back injuries involving symptomatic lumbar spine disease. The approach was to evaluate differences in the rates of strength build-up and in the variability of sustained lifting exertions performed by three groups of subjects. These groups included healthy subjects performing maximal exertions, healthy subjects performing submaximal exertions and symptomatic subjects with low back pain performing safe maximal exertions. The rate of strength build-up reliably distinguished between maximal and submaximal exertions while the ratio of within-trial variability to strength score differed significantly between the healthy and injured groups. Discriminant analysis was employed with partial success in distinguishing between the three groups using various derived measures of the force exertions.

Download Full-text

Frequent Benign, Nontraumatic, Noninflammatory Causes of Low Back Pain in Adolescents: MRI Findings

Radiology Research and Practice ◽

10.1155/2018/7638505 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Aikaterini Solomou ◽

Pantelis Kraniotis ◽

Aspasia Rigopoulou ◽

Theodore Petsas

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Degenerative Changes ◽

Low Back ◽

Mri Findings ◽

Scheuermann’S Disease ◽

Scheuermann's Disease ◽

Endplate Changes ◽

History Of

Introduction. Low back pain (LBP) is common in children and adolescents. There are many factors that cause LBP, including structural disorders, degenerative changes, Scheuermann’s disease, fractures, inflammation, and tumors. Magnetic Resonance Imaging is the gold standard for diagnosing spinal abnormalities and is mandatory when neurological symptoms exist. The study focuses on common MRI findings in adolescents with persistent LBP, without history of acute trauma or evidence of either inflammatory or rheumatic disease. Materials and Methods. Eleven adolescents were submitted to thoracic and/or lumbar spine MRI due to persistent LBP. The protocol consisted of T1 WI, T2 WI, and T2 WI with FS, in the axial, sagittal, and coronal plane. Results. MRI revealed structural abnormalities (scoliosis and kyphosis) in 4/11 (36.36%); disc abnormalities and endplate changes were found on 11/11 (100%). Typical Scheuermann’s disease was found in 3/11 (27.27%). Endplate changes were severe in Scheuermann’s patients and mild to moderate in the remaining 8/11 (72.72%). Kyphosis was in all cases secondary to Scheuermann’s disease. Disk bulges and hernias were found in 8/11 (72.72%), all located in the lumbar spine. Conclusion. In adolescents with LBP, structural spinal disorders, degenerative changes, and Scheuermann’s disease are commonly found on MRI; however, degenerative changes prevail.

Download Full-text