Case Report
Copyright ©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Clin Cases. Feb 16, 2014; 2(2): 45-47
Published online Feb 16, 2014. doi: 10.12998/wjcc.v2.i2.45
Baastrup’s disease: The kissing spine
Amit Singla, Vivek Shankar, Samarth Mittal, Abhinav Agarwal, Bhavuk Garg
Amit Singla, Vivek Shankar, Samarth Mittal, Abhinav Agarwal, Bhavuk Garg, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi 110039, India
Author contributions: Singla A wrote and finalized the manuscript and reviewed the literature; Shankar V, Agarwal A contributed to the manuscript and finalized it; Garg B provided the case and finalized the manuscript; Mittal S did the literature search, contributed to the manuscript and finalized it.
Correspondence to: Dr. Samarth Mittal, MS, Senior Resident, Department of Orthopedics, All India Institute of Medical Sciences, Teaching Block, 5th floor AIIMS, New Delhi 110039, India.
Telephone: +91-901-3562489 Fax: +11-26-583441
Received: September 27, 2013
Revised: November 13, 2013
Accepted: January 15, 2014
Published online: February 16, 2014

A 67-year-old male presented with a gradually progressive low back pain of 2 years duration. The patient was leading a retired life and there was no history of chronic fever or significant trauma. There was no radiation of pain or any features suggestive of claudication. There was no history of any comorbidity. The pain was aggravated with extension of the spine and relieved with flexion. There was no swelling or neurological deficit, but muscle spasm was present. Radiographs of the spine revealed degenerative changes in the lumbosacral spine, along with articulation of spinous processes at in lumbar spine at all levels level suggestive of Baastrup’s disease, commonly known as “kissing spine”. Routine blood investigations were within normal limits. The patient was managed conservatively. He was given a week’s course of analgesics and muscle relaxants and then started on spinal flexion exercises, with significant improvement being noted at 6 months follow up.

Keywords: Baastrup’s disease, Neoarthrosis, Spinous process, Kissing spine, Osteophytes, Low back ache, Back pain

Core tip: Baastrup’s disease, although not a rare entity, is often misdiagnosed and wrongly treated due to poor knowledge. Complete evaluation and a detailed examination of radiographic images are crucial for a proper diagnosis and to avoid mismanagement of the condition, including a hasty surgical intervention.