Yue James J, Russo Glenn S, Castro Carlos A
Department of Orthopaedic Surgery, Yale School of Medicine, New Haven, CT.
Int J Spine Surg. 2015 Nov 23;9:66. doi: 10.14444/2066. eCollection 2015.
Baastrup's Syndrome is a condition that occurs when there is abnormal contact between two adjacent spinous processes resulting in back pain. An alteration in lumbar spinal alignment and/or adjacent segment compensatory motion is thought to be potential causative factors. The objective of this study was to present a case series of what appears to be iatrogenic Baastrup's Syndrome as a mid-to-late term complication following anterior lumbar interbody surgery.
A retrospective chart review was performed of all patients undergoing anterior lumbar surgery for either fusion or disc replacement to determine the prevalence of Baastrup's Syndrome.
Over a 12-year period, 855 patients who had undergone an anterior approach for lumbar spine surgery were identified. Of them 8 patients with evidence of Baastrup's Syndrome were found; this demonstrated a prevalence of 0.9%. Diagnostic injection was a helpful clinical tool in confirming the diagnosis of iatrogenic Baastrup's Syndrome. The partial removal of the impinging spinous processes resulted in excellent clinical relief.
Iatrogenic Baastrup's Syndrome may be an iatrogenic result of anterior lumbar surgery in small group of patients. Spinous process excision is a suggested treatment option. Further studies are necessary to explore the above phenomenon. This study is a Level 3 retrospective case series.
巴斯楚普综合征是一种由于相邻两个棘突之间出现异常接触而导致背痛的病症。腰椎排列改变和/或相邻节段的代偿性运动被认为是潜在的致病因素。本研究的目的是呈现一系列病例，这些病例似乎是腰椎前路手术后出现的中期至后期医源性巴斯楚普综合征并发症。
对所有接受腰椎前路融合术或椎间盘置换术的患者进行回顾性病历审查，以确定巴斯楚普综合征的患病率。
在12年期间，共确定了855例行腰椎前路手术的患者。其中发现8例有巴斯楚普综合征的证据，患病率为0.9%。诊断性注射是确诊医源性巴斯楚普综合征的一种有用的临床工具。部分切除撞击的棘突可带来极佳的临床缓解效果。
医源性巴斯楚普综合征可能是一小部分患者腰椎前路手术的医源性结果。棘突切除术是一种建议的治疗选择。有必要进一步研究以探究上述现象。本研究为3级回顾性病例系列。
