Minimally Invasive Hemilaminectomy in Baastrup Disease: A Case Report and Discussion of "Kissing Spine Disease"

JBJS Case Connect. 2024 Dec 20;14(4). doi: 10.2106/JBJS.CC.24.00377. eCollection 2024 Oct 1.

Abstract

Case: A patient presented with midline back pain radiating into the left lower extremity. Magnetic Resonance images revealed an abnormal midline dorsal structure described as a facet cyst. Rupture was attempted by spinal needle under fluoroscopic guidance. His pain returned in less than 2 weeks. Further study of the images showed the structure was more medial and cephalad than typical facet cysts, leading to a revised diagnosis of Baastrup disease. The cyst was surgically removed by minimally invasive techniques; an uninstrumented spinal arthrodesis was performed.

Conclusion: Baastrup disease is commonly misdiagnosed. Despite the delay in treatment, surgical intervention was effective.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Laminectomy* / methods
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / surgery
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures* / methods
  • Spinal Diseases / diagnostic imaging
  • Spinal Diseases / surgery
  • Zygapophyseal Joint / diagnostic imaging
  • Zygapophyseal Joint / surgery