title: Interspinous Ligament Lidocaine and Steroid Injections for the Management of Baastrup's Disease: A Case Series.
abstract: METHODS
  Prospective study.
  
  
  OBJECTIVE
  To examine the long-term effects of interspinous ligament injections of local anesthetics and steroids for the treatment of Baastrup's diseases.
  
  
  BACKGROUND
  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.
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Kentaro
authors: K
authors: Okada
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Seiji
authors: S
authors: Ohtori
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Gen
authors: G
authors: Inoue
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Sumihisa
authors: S
authors: Orita
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Yawara
authors: Y
authors: Eguchi
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Junichi
authors: J
authors: Nakamura
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Yasuchika
authors: Y
authors: Aoki
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Tetsuhiro
authors: T
authors: Ishikawa
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Masayuki
authors: M
authors: Miyagi
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Hiroto
authors: H
authors: Kamoda
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Miyako
authors: M
authors: Suzuki
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Gou
authors: G
authors: Kubota
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Yoshihiro
authors: Y
authors: Sakuma
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Yasuhiro
authors: Y
authors: Oikawa
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Kazuhide
authors: K
authors: Inage
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Takeshi
authors: T
authors: Sainoh
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Tomoaki
authors: T
authors: Toyone
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Kazuyo
authors: K
authors: Yamauchi
authors: Department of Orthopaedic Surgery, Graduate School of Medicine,Chiba University, Chuo-ku, Japan.
authors: Kazuhisa
authors: K
authors: Takahashi
keywords: Local anesthetic; Pain; Steroid