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KMID : 1189320140080030260
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Asian Spine Journal
2014 Volume.8 No. 3 p.260 ~ p.266
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Interspinous Ligament Lidocaine and Steroid Injections for the Management of Baastrup's Disease: A Case Series
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Okada Kentaro
Ohtori Seiji
Inoue Gen
Orita Sumihisa
Eguchi Yawara
Nakamura Junichi
Aoki Yasuchika
Ishikawa Tetsuhiro
Miyagi Masayuki
Kamoda Hiroto
Suzuki Miyako
Kubota Gou
Sakuma Yoshihiro
Oikawa Yasuhiro
Inage Kazuhide
Sainoh Takeshi
Toyone Tomoaki
Yamauchi Kazuyo
Takahashi Kazuhisa
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Abstract
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Study Design: Prospective study.
Purpose: To examine the long-term effects of interspinous ligament injections of local anesthetics and steroids for the treatment of Baastrup's diseases.
Overview of Literature: Baastrup's disease is associated with axial low back pains. Baastrup's disease has been more recently described as the "kissing spinous processes" disease. Several authors have reported methods for the diagnosis and treatment of the disease. However, there has been only one report of patients receiving interspinous ligament injections of agents for the treatment of Baastrup's disease.
Methods: Seventeen patients showed severe low back pains between spinous processes at L3-L4 or L4-L5. X-ray imaging, computed tomography, and magnetic resonance imaging revealed kissing spinous processes, consolidation of spinous process, or inflammation of an interspinous ligament. Pain reliefs after lidocaine and dexamethasone administration into interspinous ligament as therapy for low back pains were being examined and followed up.
Results: Low back pain scores significantly improved immediately after injection of the agents into interspinous ligaments. At final follow-up (1.4 year), low back pain scores significantly improved as compared with before the treatment.
Conclusions: Findings from the current study indicate that lidocaine and dexamethasone administration into interspinous ligament in patients diagnosed with Baastrup's disease is effective for managing the pain associated with this disease.
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KEYWORD
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Pain, Local anesthetic, Steroid
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