巴斯楚普氏病：亲吻性脊椎病。
Baastrup's disease: The kissing spine.
作者信息
Singla Amit, Shankar Vivek, Mittal Samarth, Agarwal Abhinav, Garg Bhavuk
机构信息
Amit Singla, Vivek Shankar, Samarth Mittal, Abhinav Agarwal, Bhavuk Garg, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi 110039, India.
出版信息
World J Clin Cases. 2014 Feb 16;2(2):45-7. doi: 10.12998/wjcc.v2.i2.45.
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.
一名67岁男性，出现持续2年的逐渐加重的下背部疼痛。患者已退休，无慢性发热或重大外伤史。无疼痛放射或任何提示间歇性跛行的特征。无任何合并症病史。脊柱伸展时疼痛加重，屈曲时缓解。无肿胀或神经功能缺损，但存在肌肉痉挛。脊柱X线片显示腰骶部脊柱有退行性改变，同时腰椎各节段棘突关节处有提示巴斯图普病（俗称“亲吻脊柱”）的表现。常规血液检查结果正常。该患者接受了保守治疗。给予一周疗程的镇痛药和肌肉松弛剂，然后开始进行脊柱屈曲锻炼，随访6个月时疼痛有显著改善。
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