Baastrup disease

Baastrup disease, also known as 'kissing spine,' is a condition characterized by the abnormal approximation of the spinous processes in the spine, particularly in the lumbar region.

This condition typically arises due to degenerative changes in the spine associated with aging, leading to back pain and stiffness.

The name 'kissing spine' is derived from the appearance of the spinous processes on imaging studies, where they appear to be touching or 'kissing.

' The etiology of Baastrup disease involves the degeneration of intervertebral discs, leading to a decrease in the space between adjacent vertebrae.

As the discs lose height, the spinous processes, which are the bony projections on the back of each vertebra, come closer together and may eventually make contact during movements such as extension and bending.

Clinically, patients with Baastrup disease may present with localized back pain, often exacerbated by extension and relieved by flexion.

The pain can sometimes radiate to the buttocks or thighs, mimicking other lumbar spine conditions.

Diagnosis is primarily made through imaging studies such as X-rays, CT scans, or MRI, which reveal the characteristic approximation of the spinous processes.

Management of Baastrup disease focuses on alleviating symptoms and may include physical therapy, pain management with medications, and, in some cases, surgical intervention to reduce the contact between the spinous processes.

Lifestyle modifications and exercises aimed at improving spinal flexibility and strength are also beneficial in managing this condition.

Early diagnosis and a comprehensive treatment plan are essential in improving the quality of life for individuals affected by this degenerative spine disorder.