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Research ArticleArticles

Iatrogenic Baastrup's Syndrome: A Potential Complication Following Anterior Interbody Lumbar Spinal Surgery

James J. Yue, Glenn S. Russo and Carlos A. Castro
International Journal of Spine Surgery January 2015, 9 66; DOI: https://doi.org/10.14444/2066
James J. Yue
Department of Orthopaedic Surgery, Yale School of Medicine, New Haven, CT
MD
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Glenn S. Russo
Department of Orthopaedic Surgery, Yale School of Medicine, New Haven, CT
MD, MS
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Carlos A. Castro
Department of Orthopaedic Surgery, Yale School of Medicine, New Haven, CT
MD
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  • Fig. 1
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    Fig. 1

    Baastrup's Syndrome at the level of prior L4-5 disc replacement.

  • Fig. 2
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    Fig. 2

    Area of focal spinous process impingement at L4-5 above the level of prior disc replacement.

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    Fig. 3

    Baastrup's Syndrome at L4-5 level following L5-S1 fusion.

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    Fig. 4

    Area of focal spinous process impingement at the L4-5 level after disc replacement at L4-5 and L5-S1 levels.

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    Fig. 5

    CT representation of L4-5 spinous process impingement.

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    Table 1

    Case summary. Abbreviations: low back pain (LBP), artificial disk replacement (ADR), anterior lumbar interbody fusion (ALIF).

    GenderAgePresentationSurgeryLevelTime Since Prior Anterior SurgeryImaging with Evidence of ImpingementDiagnostic Injection with Pain ReliefPost-operative Pain ReliefPost-operative Follow-Up
    M 34LBP2-Level ADRL3-4
    L4-5
    5 yearsYYY2 years
    F 45LBP with extension2-Level ADRL4-5
    L5-S1
    10 yearsYYY2 years
    M 49LBP2-Level Posterior Fusion (separate procedures)L4-5
    L5-S1
    21 years and 2 yearsYYY2 years
    F 51LBP with leg pain3-Level ADRL3-4
    L4-5
    L5-S1
    6 yearsYYY2 years
    F 53LBP3-Level ADRL3-4
    L4-5
    L5-S1
    10 yearsYYY2 years
    M 59LBPADR and ALIFL4-5
    L5-S1
    2 yearsYYY2 years
    M 60LBPALIFL5-S111 yearsYYY2.5 years
    M 61LBP with extensionADRL5-S15 yearsYYY2.5 years
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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Iatrogenic Baastrup's Syndrome: A Potential Complication Following Anterior Interbody Lumbar Spinal Surgery
James J. Yue, Glenn S. Russo, Carlos A. Castro
International Journal of Spine Surgery Jan 2015, 9 66; DOI: 10.14444/2066

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Iatrogenic Baastrup's Syndrome: A Potential Complication Following Anterior Interbody Lumbar Spinal Surgery
James J. Yue, Glenn S. Russo, Carlos A. Castro
International Journal of Spine Surgery Jan 2015, 9 66; DOI: 10.14444/2066
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Keywords

  • anterior lumbar surgery
  • spinous process impingement
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