DE ANQUIN SYNDROME-RARE CAUSE OF LOW BACK PAIN: A CASE REPORT WITH REVIEW OF LITERATURE

Marko Stojco Spasov, Ilija Pane Todorov, Emilija Milan Stojkovska Pemovska

Abstract


Introduction: Low back pain is common medical disorder that can be caused by different etiologies, some of them being very rare. During the past decades, much of the etiology and pato-mechanics of low back pain has been clarified. However, defining precise cause of low back pain in a small subset of patients is still challenging.

Case presentation: We are presenting a case of long lasting low back pain caused by impingement of the enlarged spinous process of the fifth lumbar spine into the spina bifida of the first sacral segment, so called De Anquin syndrome. We delineated the precise morphology of the anomaly using CT scans, and since the patient was symptomatic, the resection of the enlarged spinous process was undertaken. During the follow up period, the patient remained completely symptom free.

Discussion and Literature review: We undertook literature review and small number of studies describing De Anquin syndrome were found. The most remarkable finding of the case presented is the immediate and complete release of pain.

Conclusion: We do recommend seeking for the exact etiology in the patients with long lasting low back pain.


Keywords


de Anquin syndrome, low back pain, clasp knife deformity, sciatica

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References


Chou R, Shekelle P. Will this patient develop persistent disabling low back pain? Jama. 2010;303(13):1295-302.

Cassidy JD, Carol LJ, Côte P. The Saskatchewan Health and Back Survey. The prevalence of low back pain and related disability in Saskatchewan adults. Spine. 1998;23(17):1860-7.

Cypress BK. Characteristics of physician visits for back symptoms: a national perspective. Am J Public Health. 1983;73(4):389-95.

Leboeuf-Yde C, Lauritsen JM. The prevalence of low back pain in the literature. A structured review of 26 Nordic studies from 1954 to 1993. Spine (Phila Pa 1976). 1995;20(19):2112-8.

Manckhikanti L. Epidemiology of low back pain. Pain Physician. 2000;3(2):167-92.

Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates:estimates from U.S. national surveys, 2002.Spine (Phila Pa 1976). 2006;31(23):2724-7.

Loney LP, Stratford PW. The Prevalence of low back pain in adults: a methodological review of the literature. Phys Ther. 1999;79(4):384-96.

Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344(5):363-70.

Freburger JK, Holmes MG, Agans RP, et al. The rising prevalence of chronic low back pain. Arch Int Med. 2009;169(3):251-8.

Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290(18):2443-54.

Ricci JA, Stewart WF, Chee E, Leotta C, Foley K, Hochberg MC. Back pain exacerbations and lost productive time costs in United States workers. Spine (Phila Pa 1976). 2006;31(26):3052-60.

Nachemson AL. Newest knowledge of low back pain. A critical look. Clin Orthop Relat Res. 1992;279:8-20.

Nachemson A.L. Advances in low-back pain. Clin Orthop Relat Res. 1985;200:266-78.

Marras WS, Ferguson SA, Burr D, Schabo P, Maronitis A. Low back pain recurrence in occupational environments. Spine (Phila Pa 1976). 2007;32(21):2387-97.

Atlas SJ, Deyo RA. Evaluating and managing acute low back pain in the primary care setting. J Gen Intern Med. 2001;16(2):120-31.

Jelsma F, Ploetner EJ. Painful spina bifida occulta; with review of the literature. J Neurosurg. 1953;10(1):19-27.

De Anquin C. Spina bifida occulta with engagement of the fifth lumbar spinous process. J Bone Joint Surg Am. 1959;41B(3):486-90.

Ferguson AB. The clinical and roentgenographic interpretation of lumbosacral anomalies. Radiology. 1934;22(5):548-58.

Bellerose MN. Low back pain caused by lumboacral abnormalities. N Engl J Med. 1935;213(4):177-81.

Stark WA. Spina bifida occulta and engagement of the fifth lumbar spinous process. Clin Orthop Relat Res. 1971;81(1):71-2.

Goobar DJ, Erickson F, Pate D, Sartoris DJ, Resnick D. Symptomatic clasp-knife deformity of the spinous processes. Spine (Phila Pa 1976). 1998;13(8):953-6.

Bruns J, Rehder U, Dahmen GP, Behrens P, Meiss L. Morbus de Anquin or spinous engagement syndrome. A rare cause of low-back pain syndrome and sciatica.Eur Spine J. 1994;3(5):265-9.




DOI: http://dx.doi.org/10.24125/sanamed.v11i2.125

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