559 results match your criteria Imaging in Diffuse Idiopathic Skeletal Hyperostosis


Ectopic Spinal Calcification Associated with Diffuse Idiopathic Skeletal Hyperostosis (DISH): A Quantitative Micro-CT Analysis.

J Orthop Res 2019 Feb 12. Epub 2019 Feb 12.

Physiology and Pharmacology, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada.

Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory spondyloarthropathy identified radiographically by calcification of the ligaments and/or entheses along the anterolateral aspect of the vertebral column. The etiology and pathogenesis of calcifications are unknown, and the diagnosis of DISH is currently based on radiographic criteria associated with advanced disease. To characterize the features of calcifications associated with DISH, we used micro-computed tomographic imaging to evaluate a cohort of 19 human cadaveric vertebral columns. Read More

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http://dx.doi.org/10.1002/jor.24247DOI Listing
February 2019
1 Read

Injuries to the Rigid Spine: What the Spine Surgeon Wants to Know.

Radiographics 2019 Feb 1:180039. Epub 2019 Feb 1.

From the Department of Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

The biomechanical stability of the spine is altered in patients with a rigid spine, rendering it vulnerable to fracture even from relatively minor impact. The rigid spine entities are ankylosing spondylitis (AS), diffuse idiopathic skeletal hyperostosis, degenerative spondylosis, and a surgically fused spine. The most common mechanism of injury resulting in fracture is hyperextension, which often leads to unstable injury in patients with a rigid spine per the recent AOSpine classification system. Read More

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http://dx.doi.org/10.1148/rg.2019180125DOI Listing
February 2019
2 Reads

CT-Based Evaluation of Diffuse Idiopathic Skeletal Hyperostosis in Adult Population; Prevalence, Associations and Interobserver Agreement.

J Clin Densitom 2018 Dec 6. Epub 2018 Dec 6.

Dow Institute of Radiology, Dow University of Health Sciences, Karachi, Pakistan.

Diffuse idiopathic skeletal hyperostosis (DISH), being an asymptomatic condition, is generally discovered incidentally on imaging and it has not received much attention for research on clinical grounds. We assessed the prevalence of DISH, its associated factors, and interobserver agreement for computed tomography (CT)-based diagnosis of DISH. CT scans of chest, abdomen, and pelvis performed for various clinical indications were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.jocd.2018.12.001DOI Listing
December 2018
1 Read
1.603 Impact Factor

The Unstable Spine: A Surgeon's Perspective.

Semin Ultrasound CT MR 2018 Dec 13;39(6):618-629. Epub 2018 Oct 13.

Department of Orthopedic Surgery & Rehabilitation, University of Nebraska Medical Center, Omaha, NE.

Instability of the spine is a complex clinical entity that exists on a wide spectrum encompassing many aspects of spinal pathology including traumatic, neoplastic, infectious, and degenerative processes. The importance of determining stability is paramount in the decision-making process regarding the need for operative or nonoperative care. Defining clinical instability can be a challenging and requires careful attention to the pathology involved, findings of necessary imaging, and a thorough clinical exam. Read More

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http://dx.doi.org/10.1053/j.sult.2018.10.001DOI Listing
December 2018
9 Reads

Ankylosing Spinal Disease-Diagnosis and Treatment of Spine Fractures.

World Neurosurg 2018 Nov 23. Epub 2018 Nov 23.

Department of Neurosurgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.

Background: In patients with ankylosing spinal disease, including ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis, even low-impact trauma can lead to complex injuries. The injuries seem to be highly unstable and associated with greater mortality rates compared with the general spine trauma population.

Methods: We reviewed the medical records of a consecutive series of 41 patients (34 men, 7 women) with ankylosing spinal disease and unstable traumatic spine injuries who were admitted to our department from 2007 to 2016. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.108DOI Listing
November 2018
9 Reads

[Differential diagnosis of axial spondyloarthritis-axSpA mimics].

Z Rheumatol 2019 Feb;78(1):31-42

Rheumazentrum Ruhrgebiet, Claudiusstr 45, 44649, Herne, Deutschland.

The classification of axial spondyloarthritis (axSpA) comprises the classical ankylosing spondylitis (AS), which is characterized by already existing structural changes in the sacroiliac joints, and the so-called non-radiographic axSpA (nr-axSpA), in which by definition such changes are not present. This distinction is based on the ASAS classification criteria for axSpA, which are however not suitable for a diagnosis. According to the current classification, spondyloarthritis (SpA) includes axSpA, which can be associated with psoriasis and/or chronic inflammatory bowel diseases (CED), such as Crohn's disease and ulcerative colitis, and peripheral SpA, which is further divided into SpA associated with psoriasis, partially synonymous with psoriatic arthritis (PsA), reactive SpA, partially synonymous with reactive arthritis (ReA) and SpA associated with CED, partially synonymous with arthritis associated with CED (e. Read More

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http://link.springer.com/10.1007/s00393-018-0557-8
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http://dx.doi.org/10.1007/s00393-018-0557-8DOI Listing
February 2019
5 Reads

Imaging of axial spondyloarthritis. New aspects and differential diagnoses.

Clin Exp Rheumatol 2018 Sep-Oct;36 Suppl 114(5):35-42. Epub 2018 Oct 1.

Rheumazentrum Ruhrgebiet, Herne, Germany.

Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterised by inflammatory back pain and several other disease manifestations and comorbidities. The 2009 ASAS classification criteria differentiate between the classical ankylosing spondylitis or radiographic axSpA and non-radiographic axSpA based on the presence or absence of definite radiographic changes in the sacroiliac joints. Importantly, back pain in patients with axSpA may well have reasons other than axial inflammation or new bone formation. Read More

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January 2019
4 Reads

Spine Fractures in Ankylosing Diseases: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).

Global Spine J 2018 Sep 7;8(2 Suppl):56S-68S. Epub 2018 Sep 7.

Medical University Dresden at the TU Dresden, Dresden, Germany.

Study Design: Review of literature and case series.

Objectives: Update and review of current treatment concepts for spine fractures in patients with ankylosing spinal disorders.

Methods: Case presentation and description of a diagnostic and therapeutic algorithm for unstable spinal injuries with an underlying ankylosing spinal disorder (ASD) of the cervical and thoracolumbar spine. Read More

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http://dx.doi.org/10.1177/2192568217736268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130102PMC
September 2018
11 Reads

Response to: "Diffuse Idiopathic Skeletal Hyperostosis and Ankylosing Spondylitis. Comment on the article by Latourte et al" by Olmedo-Garzón and Ruiz-Ollero.

Arthritis Care Res (Hoboken) 2018 Sep 7. Epub 2018 Sep 7.

Rheumatology B Department, Paris Descartes University, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, INSERM U1153, PRES Sorbonne Paris-Cité, Paris, France.

We would like to thank F.J. Olmedo-Garzón and A. Read More

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http://doi.wiley.com/10.1002/acr.23744
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http://dx.doi.org/10.1002/acr.23744DOI Listing
September 2018
16 Reads

Diffuse Idiopathic Skeletal Hyperostosis and Ankylosing Spondylitis. Comment on the article by Latourte et al.

Arthritis Care Res (Hoboken) 2018 Sep 7. Epub 2018 Sep 7.

Servicio de Radiología. Hospital Clínico de San Carlos. Madrid, Spain.

We read with great interest the article by Latourte et al about axial spondyloarthritis (SpA) like imaging in Diffuse Idiopathic Skeletal Hyperostosis (DISH) (1). On the spine magnetic resonance imaging, 76.9% of their cohort of patients with symptomatic DISH had at least 1 inflammatory lesion, as assessed by bone medullar edema (BME). Read More

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http://dx.doi.org/10.1002/acr.23745DOI Listing
September 2018
17 Reads

Abdominal fat distribution in diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis patients compared to controls.

Clin Radiol 2018 Oct 19;73(10):910.e15-910.e20. Epub 2018 Jul 19.

Department of Diagnostic Imaging, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Israel. Electronic address:

Aim: To evaluate abdominal fat distribution (subcutaneous adipose tissue [SAT] and visceral adipose tissue [VAT]) in two enthesopathy-related diseases with known correlation to metabolic syndrome (MS): diffuse idiopathic skeletal hyperostosis (DISH) and ankylosing spondylitis (AS) compared with controls.

Materials And Methods: Abdominal computed tomography (CT) examinations of 43 DISH (Resnick radiographic criteria) patients, 31 AS (Modified New York Criteria) patients and 42 age- and gender-matched (to DISH) controls (males: 29; 29; 27 and mean age: 71.7±7; 56. Read More

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http://dx.doi.org/10.1016/j.crad.2018.06.008DOI Listing
October 2018
6 Reads

Severe hip joint motion restriction in a patient with diffuse idiopathic skeletal hyperostosis: A case report.

Medicine (Baltimore) 2018 May;97(18):e0652

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu, Republic of Korea.

Rationale: Severe limitation of motion (LOM) in the spine occasionally occurs in patients with diffuse idiopathic skeletal hyperostosis (DISH). However, in extraspinal areas, significant LOM has rarely been reported. In this study, we report a patient with DISH who had severe motion restriction within both hip joints. Read More

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http://dx.doi.org/10.1097/MD.0000000000010652DOI Listing
May 2018
3 Reads

Thoracic aortic aneurysm is an independent factor associated with diffuse idiopathic skeletal hyperostosis.

Bone Joint J 2018 05;100-B(5):617-621

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Nagano, Japan.

Aims: Although we often encounter patients with an aortic aneurysm who also have diffuse idiopathic skeletal hyperostosis (DISH), there are no reports to date of an association between these two conditions and the pathogenesis of DISH remains unknown. This study therefore evaluated the prevalence of DISH in patients with a thoracic aortic aneurysm (AA).

Patients And Methods: The medical records of 298 patients who underwent CT scans for a diagnosis of an AA or following high-energy trauma were retrospectively examined. Read More

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http://online.boneandjoint.org.uk/doi/10.1302/0301-620X.100B
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http://dx.doi.org/10.1302/0301-620X.100B5.BJJ-2017-1298.R1DOI Listing
May 2018
12 Reads

Rich table but short life: Diffuse idiopathic skeletal hyperostosis in Danish astronomer Tycho Brahe (1546-1601) and its possible consequences.

PLoS One 2018 19;13(4):e0195920. Epub 2018 Apr 19.

PACEA-UMR 5199, University of Bordeaux, Pessac, France.

The exhumation of Danish astronomer Tycho Brahe (1546-1601) was performed in 2010 to verify speculative views on the cause of his death. Previous analyses of skeletal and hair remains recovered from his grave refuted the presumption that he died from poisoning. These studies also outlined the possibility that he actually died from an acute illness, echoing the rather vague and inaccurate testimony of some historical records. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0195920PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909615PMC
July 2018
11 Reads

Anterior longitudinal ligament in diffuse idiopathic skeletal hyperostosis: Ossified or displaced?

J Orthop Res 2018 Sep 24;36(9):2491-2496. Epub 2018 May 24.

Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht University, Box 85500, 3508 GA, Utrecht, The Netherlands.

Diffuse idiopathic skeletal hyperostosis (DISH) is often theorized to be an ossification of the anterior longitudinal ligament (ALL). Using computed tomography (CT) imaging and cryomacrotome sectioning, we investigated the spatial relationship between the ALL and newly formed bone in DISH to test this hypothesis. In the current study, four human cadaveric spines diagnosed with DISH using CT imaging were frozen and sectioned using a cryomacrotome. Read More

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http://dx.doi.org/10.1002/jor.24020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175084PMC
September 2018
6 Reads

Prevalence of Diffuse Idiopathic Skeletal Hyperostosis Diagnosed by Whole Spine Computed Tomography: A Preliminary Study.

Clin Orthop Surg 2018 Mar 27;10(1):41-46. Epub 2018 Feb 27.

Department of Orthopedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, Korea.

Background: Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by ossification of the enthesis. The diagnosis has been mainly based on the chest or whole spine lateral plain film. Recently, chest or thoracolumbar computed tomography (CT) has been reported to be more reliable for the diagnosis of DISH. Read More

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http://dx.doi.org/10.4055/cios.2018.10.1.41DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851853PMC
March 2018
9 Reads

Degenerative changes of the thoracic spine do exist in patients with diffuse idiopathic skeletal hyperostosis: a detailed thoracic spine CT analysis.

Acta Radiol 2018 Nov 26;59(11):1343-1350. Epub 2018 Feb 26.

1 Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Affiliated with the Sackler School of Medicine, Tel Aviv University, Israel.

Background Degenerative intervertebral disease (DID) is an exclusion criterion in the Resnick and Niwayama radiographic classification for diffuse idiopathic skeletal hyperostosis (DISH). However, although DID was previously described in DISH, no systematic computed tomography (CT) analysis has been reported so far. Purpose To assess for the presence and prevalence of such changes on CT examinations of the thoracic spine of individuals with DISH. Read More

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http://dx.doi.org/10.1177/0284185118761205DOI Listing
November 2018
10 Reads

Clinical and radiological features of spinal extradural arachnoid cysts: Valve-like mechanism involving the nerve root fiber as a possible cause of cyst expansion.

J Orthop Sci 2018 May 13;23(3):464-469. Epub 2018 Feb 13.

Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara, Sakyo, Kyoto, 606-8507, Japan.

Background: Although a valve-like mechanism has been proposed for expansion of spinal extradural arachnoid cysts (SEACs), the detailed mechanism remains unclear. Moreover, closure of the communication site is essential during surgery, but the method to identify the communication site remains unclear. The aim of this study was to determine the detailed mechanism of expanding SEACs through retrospective analysis of SEAC cases undergoing surgery and to elucidate the characteristics of the communication sites. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658183002
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http://dx.doi.org/10.1016/j.jos.2018.01.005DOI Listing
May 2018
18 Reads

The surgical management of dysphagia secondary to diffuse idiopathic skeletal hyperostosis.

Clin Neurol Neurosurg 2018 Apr 7;167:36-42. Epub 2018 Feb 7.

Dept. of Neurosurgery, The National Hospital for Neurology & Neurosurgery, London, United Kingdom.

Objective: This study reviews the management pathway and surgical outcomes of patients referred to and operated on at a tertiary neurosurgical centre, for dysphagia associated with anterolateral cervical hyperostosis (ACH) in diffuse idiopathic skeletal hyperostosis (DISH).

Patients & Methods: Electronic patient records for 6 patients who had undergone anterior cervical osteophytectomy for dysphagia secondary to ACH were reviewed. ACH diagnosis was made by an Ear, Nose and Throat (ENT) specialist and patients were referred to a neurosurgical-led multidisciplinary team (MDT) for review. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467183005
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http://dx.doi.org/10.1016/j.clineuro.2018.02.010DOI Listing
April 2018
5 Reads

Diffuse Idiopathic Hyperostosis Manifesting as Dysphagia and Bilateral Cord Paralysis: A Case Report and Literature Review.

World Neurosurg 2018 Mar 18;111:79-85. Epub 2017 Dec 18.

Department of Neurosurgery, Spine Unit, Centre Hopitalier de l'Université de Montréal, Montréal, Quebec, Canada.

Background: Diffuse idiopathic hyperostosis (DISH) is characterized by calcifications affecting mainly the spinal anterior longitudinal ligament. This disease is mainly asymptomatic but cervical osteophytes can sometimes cause dysphagia (DISHphagia), hoarseness, and even dyspnea.

Case Description: We report, for the first time in the medical literature, a case of a 76-year-old patient with DISH causing an important dysphagia as well as bilateral vocal cord paralysis causing critical dyspnea. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.12.063DOI Listing
March 2018
8 Reads
2.420 Impact Factor

Fracture of the Ankylosed Spine Following a Direct Anterior Approach for Total Hip Arthroplasty on a Fracture Table: A Case Report.

JBJS Case Connect 2017 Jul-Sep;7(3):e51

1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Case: An 85-year-old man with diffuse idiopathic skeletal hyperostosis underwent total hip arthroplasty (THA) through a direct anterior approach. Postoperatively, persistent blood loss and worsening abdominal and back pain prompted computed tomography, which identified an L1 hyperextension fracture-dislocation. The patient underwent staged posterior and anterior instrumented fusion. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00017DOI Listing
August 2018
7 Reads

Lumbar chance fracture after direct anterior total hip arthroplasty.

Arthroplast Today 2017 Dec 10;3(4):247-250. Epub 2017 Jul 10.

The Anderson Orthopaedic Clinic, Joint Replacement, Arlington, VA, USA.

This report describes a patient with ankylosing spondylitis (AS) who underwent total hip arthroplasty (THA) by the direct anterior approach and sustained a L4-5 extension fracture dislocation with neural deficits. A magnetic resonance imaging revealed an epidural hematoma at the site of the fracture causing critical stenosis. The patient was taken to the operating room for a L3-S1 posterior decompression with L2-pelvis posterior spinal fusion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S23523441173004
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http://dx.doi.org/10.1016/j.artd.2017.05.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5712024PMC
December 2017
19 Reads

Sex differences in response to targeted kyphosis specific exercise and posture training in community-dwelling older adults: a randomized controlled trial.

BMC Musculoskelet Disord 2017 Dec 4;18(1):509. Epub 2017 Dec 4.

University of California, Davis, CA, USA.

Background: Hyperkyphosis, an excessive anterior curvature in the thoracic spine, is associated with reduced health status in older adults. Hyperkyphosis is highly prevalent, more common in older women than men. There is no standard intervention to reduce age-related hyperkyphosis. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-017-1862-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5715979PMC
December 2017
16 Reads

Styloid Process Elongation on Cervical Spine Computed Tomography is Associated with the Enthesopathy-Related Diseases of Ankylosing Spondylitis and Diffuse Idiopathic Skeletal Hyperostosis.

Isr Med Assoc J 2017 Nov;19(11):670-673

Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Enthesopathy may lead to calcification of the stylohyoid ligament and can cause elongation of the styloid process (SP).

Objectives: To evaluate whether SP elongation is associated with two common enthesitis-related diseases: ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH).

Methods: Cervical spine computed tomography (CT) examinations of patients with DISH (n=64, Resnick criteria), AS (n=24, New York criteria) and a controls (no radiological signs of DISH or AS, n=54) were retrospectively evaluated. Read More

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November 2017
18 Reads

MRI Findings of the Sacroiliac Joints in Patients with Low Back Pain: Alternative Diagnosis to Inflammatory Sacroiliitis.

Isr Med Assoc J 2017 Nov;19(11):666-669

Rheumatology Unit, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Magnetic resonance imaging (MRI) is the most sensitive imaging modality for the detection of sacroiliitis. Diagnosing sacroiliitis on MRI is not always straightforward and can be challenging in some cases.

Objectives: To evaluate the prevalence of alternative diagnoses suggested by MRI and characterize the MR appearance of the most common ones. Read More

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November 2017
8 Reads

Morphological characteristics of diffuse idiopathic skeletal hyperostosis in the cervical spine.

PLoS One 2017 20;12(11):e0188414. Epub 2017 Nov 20.

Department of Orthopaedics, University Medical Center Utrecht, Utrecht, The Netherlands.

Objectives: Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by anterior ossification of the spine and can lead to dysphagia and airway obstruction. The morphology of the newly formed bone in the cervical spine is different compared to the thoracic spine, possibly due to dissimilarities in local vascular anatomy. In this study the spatial relationship of the new bone with the arterial system, trachea and esophagus was analyzed and compared between subjects with and without DISH. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0188414PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695822PMC
December 2017
9 Reads

Diffuse Idiopathic Skeletal Hyperostosis (DISH) as a Cause of Failure Following Distal Clavicle Excision A Case Report and Review of the Literature.

Bull Hosp Jt Dis (2013) 2017 Dec;75(4):279-281

Diffuse idiopathic skeletal hyperostosis (DISH) is common spinal condition characterized by increased calcification and ossification of ligaments and entheses, typically in the anterior aspect of the spine. However, extraspinal manifestations of the disease can occur and depending on the degree and location of involvement, may become symptomatic. We present the case of a 63-year-old male with a history of DISH, who failed initial open distal clavicle excision due to the postoperative development of heterotopic bone bridging across the acromioclavicular joint. Read More

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December 2017
5 Reads

Dysphagia due to DISH-related anterior osteophytes: DISHphagia!!

BMJ Case Rep 2017 Oct 15;2017. Epub 2017 Oct 15.

Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, Punjab, India.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-22251
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http://dx.doi.org/10.1136/bcr-2017-222512DOI Listing
October 2017
1 Read

Diffuse idiopathic skeletal hyperostosis (DISH): Increased prevalence in Pacific Islanders.

J Med Imaging Radiat Oncol 2018 Apr 11;62(2):188-193. Epub 2017 Oct 11.

Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand.

Introduction: Diffuse idiopathic skeletal hyperostosis (DISH) is a musculoskeletal disorder in which ligaments and entheses slowly become ossified, leading to decreased mobility and pain. The prevalence is variably reported as between 3% and 25% of the population over 50. In Australasia, the prevalence and severity of DISH has long been thought by radiologists to be high in certain populations, particularly among Pacific Islanders. Read More

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http://dx.doi.org/10.1111/1754-9485.12679DOI Listing
April 2018
26 Reads

Diffuse idiopathic skeletal hyperostosis (DISH): where we are now and where to go next.

RMD Open 2017 21;3(1):e000472. Epub 2017 Jun 21.

Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Herne, Germany.

Diffuse idiopathic skeletal hyperostosis (DISH) is a well-recognised entity characterised by calcifications and ossifications of the entheses affecting mainly the spine and peripheral sites. DISH is still insufficiently investigated and understood. The objective of this report is to highlight the present limitations of our understanding of the condition and suggest future research paths. Read More

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http://dx.doi.org/10.1136/rmdopen-2017-000472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604607PMC
June 2017
16 Reads

A rare case of Eagle syndrome and diffuse idiopathic skeletal hyperostosis in the cervical spine.

J Can Chiropr Assoc 2017 Aug;61(2):167-170

Professor and Coordinator of Diagnostic Imaging, Chiropractic Department, D'Youville College, Buffalo, NY.

Published case studies involving diffuse idiopathic skeletal hyperostosis (DISH) along with symptomatic ossification of the stylohyoid ligament, or "Eagle syndrome," are rare. In this report, we document a case of bilateral Eagle syndrome and advanced DISH in the cervical spine of an 80-year-old man who presented with severe neck stiffness and intermittent asphyxia. The key imaging and clinical features of this disorder are also described. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5596968PMC
August 2017
11 Reads

Analysis of the Literature on Cervical Spine Fractures in Ankylosing Spinal Disorders.

Global Spine J 2017 Aug 31;7(5):469-481. Epub 2017 May 31.

Medical University of Innsbruck, Innsbruck, Austria.

Study Design: Narrative literature review.

Objective: The numbers of low-energy cervical fractures seen in patients suffering from ankylosing spondylitis (also known as Bechterew disease) or diffuse idiopathic skeletal hyperostosis (also known as Forestier disease) have greatly increased over recent decades. These fractures tend to be particularly overlooked, leading to delayed diagnosis and secondary neurological deterioration. Read More

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http://dx.doi.org/10.1177/2192568217700108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5544161PMC
August 2017
12 Reads

Mini-open anterior approach for cervicothoracic junction fracture: technical note.

Neurosurg Focus 2017 Aug;43(2):E4

Departments of 1 Neurological Surgery and.

Elderly patients with diffuse idiopathic skeletal hyperostosis are at high risk for falls, and 3-column unstable fractures present multiple challenges. Unstable fractures across the cervicothoracic junction are associated with significant morbidity and require fixation, which is commonly performed through a posterior open or percutaneous approach. The authors describe a novel, navigated, mini-open anterior approach using intraoperative cone-beam CT scanning to place lag screws followed by an anterior plate in a 97-year-old patient. Read More

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http://dx.doi.org/10.3171/2017.5.FOCUS17179DOI Listing
August 2017
9 Reads

Vertebral fracture at the caudal end of a surgical fusion for thoracic vertebral fracture in a patient with diffuse idiopathic skeletal hyperostosis (DISH).

Fukushima J Med Sci 2017 Aug 5;63(2):112-115. Epub 2017 Jul 5.

Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine.

The patient was an 86-year-old woman with back pain after a fall. She had no neurological findings at the initial visit. Plain radiographs and magnetic resonance imaging (MRI) showed diffuse idiopathic skeletal hyperostosis (DISH) and a Th10 fracture. Read More

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http://dx.doi.org/10.5387/fms.2016-10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597531PMC
August 2017
8 Reads

Bilaterale Stimmbandparese eines langzeitbeatmeten Patienten mit DISH.

Laryngorhinootologie 2017 07 13;96(7):476-477. Epub 2017 Jun 13.

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http://dx.doi.org/10.1055/s-0043-112161DOI Listing
July 2017
4 Reads

Clinical and imaging mimickers of axial spondyloarthritis.

Semin Arthritis Rheum 2017 12 20;47(3):361-368. Epub 2017 May 20.

Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

The first step in the diagnosis of a patient with suspected axial spondyloarthritis is to differentiate the signs and symptoms of the disease from other disorders, potentially manifesting with similar clinical and imaging features. This review examines diffuse idiopathic skeletal hyperostosis, osteitis condensans ilii, and other developmental and metabolic disorders that may mimic axial spondyloarthritis, highlighting the diagnostic caveats and discussing shared and distinguishing aspects of these conditions in order to improve the clinician's ability to set them apart. Read More

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http://dx.doi.org/10.1016/j.semarthrit.2017.05.009DOI Listing
December 2017
6 Reads

Sacroiliitis mimics: a case report and review of the literature.

BMC Musculoskelet Disord 2017 04 22;18(1):170. Epub 2017 Apr 22.

Case Western Reserve University, MetroHealth Medical Center, Divison of Rheumatology, 2500 MetroHealth Dr., Cleveland, OH, 44109, USA.

Background: Radiographic sacroiliitis is the hallmark of ankylosing spondylitis (AS), and detection of acute sacroiliitis is pivotal for early diagnosis of AS. Although radiographic sacroiliitis is a distinguishing feature of AS, sacroiliitis can be seen in a variety of other disease entities.

Case Presentation: We present an interesting case of sacroiliitis in a patient with Paget disease; the patient presented with inflammatory back pain which was treated with bisphosphonate. Read More

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http://dx.doi.org/10.1186/s12891-017-1525-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5401462PMC
April 2017
26 Reads

Diffuse idiopathic skeletal hyperostosis with cervical myelopathy.

CMAJ 2017 03;189(10):E410

Spinal Cord Injury Clinical Research Unit (Nouri), Toronto Western Hospital, University Health Network; Division of Neurosurgery, Department of Surgery, and Spinal Program (Fehlings), University of Toronto, Toronto, Ont.

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http://dx.doi.org/10.1503/cmaj.160487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359108PMC
March 2017
10 Reads

Classification criteria for diffuse idiopathic skeletal hyperostosis: a lack of consensus.

Rheumatology (Oxford) 2017 07;56(7):1123-1134

Department of Orthopaedics.

Objectives: DISH is a condition characterized by flowing ossifications of the spine with or without ossifications of entheses elsewhere in the body. Studies on the prevalence and pathogenesis of DISH use a variety of partly overlapping combinations of classification criteria, making meaningful comparisons across the literature difficult. The aim of this study was to systematically summarize the available criteria to support the development of a more uniform set of diagnostic/classification criteria. Read More

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http://dx.doi.org/10.1093/rheumatology/kex056DOI Listing
July 2017
15 Reads

Imaging Findings Suggestive of Axial Spondyloarthritis in Diffuse Idiopathic Skeletal Hyperostosis.

Arthritis Care Res (Hoboken) 2018 01 15;70(1):145-152. Epub 2017 Dec 15.

Paris Descartes University, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, INSERM (U1153), PRES Sorbonne Paris-Cité, Paris, France.

Objective: To describe the magnetic resonance imaging (MRI) findings in diffuse idiopathic skeletal hyperostosis (DISH) patients and to assess the proportion of DISH patients whose MRI findings would fulfill the Assessment of Spondyloarthritis International Society (ASAS) criteria for a positive MRI of axial spondyloarthritis (SpA).

Methods: This study involved all DISH patients who had a spine or sacroiliac (SI) joint MRI performed between January 2009 and December 2014. Sociodemographic and clinical data were collected. Read More

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http://dx.doi.org/10.1002/acr.23244DOI Listing
January 2018
20 Reads

Diffuse Idiopathic Skeletal Hyperostosis (DISH) and Impaired Physical Function: The Rancho Bernardo Study.

J Am Geriatr Soc 2017 Jul 29;65(7):1476-1481. Epub 2017 Mar 29.

University of California, San Diego, California.

Objectives: Investigate associations of diffuse idiopathic skeletal hyperostosis (DISH) with self-reported and measured physical function in older adults.

Design: Cross-sectional analyses of data collected in 1992-96 from a longitudinal cohort.

Setting: Research clinic within a community. Read More

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http://dx.doi.org/10.1111/jgs.14810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507717PMC
July 2017
8 Reads

Magnetic resonance imaging in diffuse idiopathic skeletal hyperostosis: similarities to axial spondyloarthritis.

Clin Rheumatol 2017 Jul 31;36(7):1545-1549. Epub 2017 Mar 31.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory condition that involves calcification and ossification of the spinal ligaments and entheses. While, characteristic magnetic resonance imaging (MRI) lesions of the spine in patients with axial spondyloarthritis, another enthesitis-related disease, have been described and defined, there is a paucity of information regarding the MRI findings in DISH. The aim of this study was to describe the MRI findings of patients with DISH. Read More

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http://dx.doi.org/10.1007/s10067-017-3617-6DOI Listing
July 2017
12 Reads

Thoracic spondylolisthesis and spinal cord compression in diffuse idiopathic skeletal hyperostosis: a case report.

J Med Case Rep 2017 Apr 1;11(1):90. Epub 2017 Apr 1.

Department of Orthopaedic Surgery, Graduate School of Medicine, Kanazawa University, 13-1 Takara-machi, Kanazawa City, Ishikawa, 920-8641, Japan.

Background: Diffuse idiopathic skeletal hyperostosis has long been regarded as a benign asymptomatic clinical entity with an innocuous clinical course. Neurological complications are rare in diffuse idiopathic skeletal hyperostosis. However, if they do occur, the consequences are often significant enough to warrant major neurosurgical intervention. Read More

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http://dx.doi.org/10.1186/s13256-017-1252-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376279PMC
April 2017
11 Reads

Cervical diffuse idiopathic skeletal hyperostosis (DISH) causing oropharyngeal dysphagia.

BMJ Case Rep 2017 Mar 17;2017. Epub 2017 Mar 17.

Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA.

Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory condition characterised by calcification and ossification of the vertebral ligaments. It is most commonly seen to affect the thoracic and lumbar vertebrae and is usually seen among elderly men. The cause of this condition is unknown. Read More

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http://dx.doi.org/10.1136/bcr-2016-218630DOI Listing
March 2017
8 Reads

Diffuse idiopathic skeletal hyperostosis (DISH): an unusual cause of airway obstruction.

BMJ Case Rep 2017 Mar 15;2017. Epub 2017 Mar 15.

Department of Otolaryngology, Royal National Throat Nose and Ear Hospital, London, UK.

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http://dx.doi.org/10.1136/bcr-2017-219635DOI Listing
March 2017
5 Reads

[Incidental findings in musculoskeletal radiology].

Radiologe 2017 Apr;57(4):286-295

Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

Background: Increasing numbers of conventional X‑rays, computed tomography and magnetic resonance imaging in the inpatient, outpatient and scientific routine leads to an increasing number of incidental findings. The correct interpretation of these incidental findings with respect to the relevance and the evaluation concerning further work-up is an important task of radiologists.

Objective: Description of common incidental findings in musculoskeletal imaging and their clinical classification. Read More

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http://dx.doi.org/10.1007/s00117-017-0231-1DOI Listing
April 2017
15 Reads

Spinal Epidural Hematoma Related to Vertebral Fracture in an Atypical Rigid Diffuse Idiopathic Skeletal Hyperostosis: A Case Report.

Geriatr Orthop Surg Rehabil 2017 Mar 14;8(1):18-22. Epub 2016 Dec 14.

Spine Unit, Department of Orthopaedic Surgery, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.

Introduction: Spinal epidural hematoma (SEH) is a rare disease that causes cord compression and neurologic deficit. Spontaneous SEH is related to minor trauma, bleeding disorders, and anticoagulant medications. Posttraumatic SEH has been associated with low-energy spine hyperextension injuries in patients with ankylosing spinal disorders such as ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis (DISH). Read More

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http://dx.doi.org/10.1177/2151458516681633DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315246PMC
March 2017
10 Reads

Odontoid Fracture in a Patient With Diffuse Idiopathic Skeletal Hyperostosis.

Geriatr Orthop Surg Rehabil 2017 Mar 27;8(1):14-17. Epub 2016 Dec 27.

Department of Orthopaedic Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

Nonoperative management of fractures in the setting of diffuse idiopathic skeletal hyperostosis (DISH) or ankylosing spondylitis is often unsuccessful. The subaxial spine is a common site of hyperextension fractures in the setting of DISH. Fractures of the upper cervical spine are uncommon in DISH. Read More

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http://dx.doi.org/10.1177/2151458516681146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315245PMC
March 2017
12 Reads

Fracture reduction by postoperative mobilisation for the treatment of hyperextension injuries of the thoracolumbar spine in patients with ankylosing spinal disorders.

Arch Orthop Trauma Surg 2017 Apr 21;137(4):531-541. Epub 2017 Feb 21.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Introduction: The aim of this study was to evaluate results of surgical stabilisation of hyperextension injuries of the thoracolumbar spine in patients with ankylosing spinal disorders using two different treatment strategies: the conventional open rigid posterior instrumentation and percutaneous less rigid posterior instrumentation. Surgical and non-surgical complications, the postoperative radiological course, and clinical outcome at final follow-up were comparatively assessed. Moreover, we sought to discuss important biomechanical and surgical aspects specific to posterior instrumentation of the ankylosed thoracolumbar spine as well as to elaborate on the advantages and limitations of the proposed new treatment strategy involving percutaneous less rigid stabilisation and fracture reduction by postoperative mobilisation. Read More

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http://dx.doi.org/10.1007/s00402-017-2653-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5352739PMC
April 2017
17 Reads

Transdiscal fracture of thoracic spine presenting as sensory ataxia.

Acta Neurol Belg 2017 09 3;117(3):783-785. Epub 2017 Feb 3.

Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, 226014, India.

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http://dx.doi.org/10.1007/s13760-017-0752-4DOI Listing
September 2017
7 Reads