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[De Anquin disease or spinous engagement syndrome]
C Dieckmann1, V Nicolas, J Bruns
1Radiologische Klinik, Universitätskrankenhaus Eppendorf.
Aktuelle Radiologie
|July 1, 1995
Summary
De Anquin's disease, a rare cause of low back pain and sciatica, involves a large spinous process compressing nerves. Surgical treatment of six patients showed significant symptom relief in most cases.
Area of Science:
- Orthopedics
- Neurosurgery
- Pain Management
Background:
- De Anquin's disease, also known as spinous impingement syndrome, is a rare condition causing low back pain and sciatica.
- It results from a hypertrophic spinous process and underlying spina bifida occulta, leading to neural structure compression.
Purpose of the Study:
- To evaluate the efficacy of surgical intervention for de Anquin's disease.
- To assess long-term clinical and radiological outcomes following surgical treatment.
Main Methods:
- Surgical resection of the hypertrophic spinous process.
- Revision of nerve roots and division of adhesions.
- Clinical and radiological re-examination of six patients treated between 1981 and 1993.
Main Results:
- Three out of six patients experienced complete symptom resolution.
- Two patients reported diminished pain.
- One patient showed no change in back pain status.
Conclusions:
- Surgical treatment can be effective in managing de Anquin's disease.
- Resection of the hypertrophic spinous process offers significant relief for patients with this rare syndrome.