Matt Holliday out again Sunday with back spasms

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The adversity continues to pile up in St. Louis.

According to Joe Strauss of the Post-Dispatch, Cardinals left fielder Matt Holliday will be held out of the starting lineup for a second straight game Sunday against the Indians due to back spasms.

It’s not a major injury and isn’t in danger of becoming one, but his absence is still a concern for a team with four fairly key offensive contributors (Lance Berkman, Jon Jay, Skip Schumaker and Matt Carpenter) currently on the disabled list. Not to mention ace Chris Carpenter and lefty Jaime Garcia.

Holliday is batting .276/.362/.458 with 10 homers and 35 RBI. He’ll presumably be back Tuesday.

Dodgers designate Sergio Romo for assignment

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The Dodgers announced on Thursday that the club activated pitcher Grant Dayton from the 10-day disabled list and designated pitcher Sergio Romo for assignment.

Dayton, 29, went on the disabled list earlier this month with neck stiffness. He’ll resume with a 3.63 ERA and a 20/12 K/BB ratio in 22 1/3 innings.

Romo, 34, signed a one-year, $3 million deal with the Dodgers in February. It didn’t really work out, as the right-hander posted a 6.12 ERA with a 31/12 K/BB ratio in 25 innings. His peripherals are still decent, so it wouldn’t be surprising if a team in need of a bullpen arm makes a deal with the Dodgers within the week.

Nate Karns underwent season-ending surgery for thoracic outlet syndrome

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MLB.com’s Jeffrey Flanagan reports that Royals pitcher Nate Karns underwent surgery for thoracic outlet syndrome on Wednesday. He’s expected to be ready for spring training next year. Karns went on the disabled list in May with an elbow injury and didn’t make much progress.

The Royals acquired Karns from the Mariners in January in exchange for outfielder Jarrod Dyson. Over eight starts and one relief appearance, the 29-year-old right-hander compiled a 4.17 ERA and a 51/13 K/BB ratio in 45 1/3 innings.

Karns will enter his first of three years of arbitration eligibility after the season, so he’ll be under the Royals’ control through 2020.