Preliminary curative effect of interspinous blocking injection guiding by X ray for the diagnosis and treatment of lumbar Baastrup's disease
10.3969/j.issn.1003-0034.2014.03.012
- VernacularTitle:X线引导下棘突间封闭术诊治腰椎吻合棘的初步临床疗效评价
- Author:
Kan LIU
1
;
Wen Wen WU
;
Dong Ji GUO
;
Feng Dong REN
;
Li LI
;
Dong Hua WANG
;
Guang Jia TANG
Author Information
1. 中国人民解放军医学院
- Keywords:
Baastrup’s disease;
Interspinous injection;
Blocking therapy;
Low back pain
- From:
China Journal of Orthopaedics and Traumatology
2014;(3):220-223
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the preliminary curative effect of interspinous injections for the diagnosis and treatment of back pain caused by lumbar kissing spine (Baastrup's disease) under fluoroscopically guiding. Methods:From November 2011 to March 2013,17 patients with back pain caused by Baastrup's disease were treated with fluoroscopically guided inter-spinous injections,including 7 males and 10 females with an average age of 49.6 years old ranging from 40 to 71 years old;the duration of the disease ranged from 2 to 5 years with a mean of 3.7 years. The visual analogue scale (VAS) and the lumbar seg-ments range of motion (ROM) was analyzed at pre operation,2 days,3 months and final followed up after operation,the effects were evaluated with modified Macnab standard. Results:All patients were follow up from 6 to 10 months with an average of 7.6 months. The pre operative VAS was 6.41±0.94,the postoperative VAS at different time points improved significantly comparing with pre operation,and the differences were statistically significant (P<0.01). There was no significant difference in VAS at different time points after operation (P>0.05). The ROM of operated segment and adjacent segment was (4.88±0.86)° and (6.82±0.73)° respectively at pre operation. The postoperative operated segment ROM at different time points improved signifi-cantly comparing with pre operation,and the differences were statistically significant (P<0.05). Compared with pre operation, there was no significant difference in adjacent segment ROM at different time points after operation (P>0.05). According to modified Macnab,the result was excellent in 6 cases,good in 7 cases,fair in 3 cases and poor in 1 case. Conclusion:Fluoro-scopically guided interspinous injections is an effective method for the diagnosis and treatment of Baastrup's disease. The method has advantages of simple operation,minimal invasion and safety,satisfactory short term and medium term therapeutic effect;it can also effectively lessen the pain of lumbar and back.
