Dysphagia and Dyspnoea as Complications in Spondylarthritis Ankylopoetica with Cervical Osteophytes

Benhabyles, M; Brattström, H; Sundén, G

doi:10.3109/17453677008991526

Cited by 20 publications

(5 citation statements)

References 8 publications

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“…Cervical spondylosis may cause dysphagia, a sensation of retropharyngeal globus and stridor. 8,9 Hyperostotic spondylosis (Forestier's disease/DISH) usually present in a middle aged or older patient and affects up to 10% of patients older than 65 years of age. It is characterized by flowing ossification along the anterior and lateral aspects of the spinal column.…”

Section: Discussionmentioning

confidence: 99%

Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited

Rao¹,

Shankar²,

Shivappa³

et al. 2012

International Journal of Head and Neck Surgery

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Large anterior cervical osteophytes can occur in degeneration of the cervical spine, cervical spondylosis or in diffuse idiopathic skeletal hyperostosis (DISH). Voluminous anterior cervical osteophytes which can develop from C3 to C7 can cause narrowing of the pharyngoesophageal segment by external compression and may cause dysphagia, which may be life threatening when it is associated with aspiration and or dyspnea. The objective of this case report is to highlight how commonly occurring anterior cervical osteophytes may become an unrecognized cause for life-threatening dysphagia. The clinical and radiographic findings in patient with dysphagia and ventral osteophytes of the cervical spine due to degeneration are demonstrated. The anterolateral approach for removal of these osteophytes is described.

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Section: Discussionmentioning

confidence: 99%

Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited

Rao¹,

Shankar²,

Shivappa³

et al. 2012

International Journal of Head and Neck Surgery

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“…However, LeRoux's [15] analysis of 1200 cases of dysphagia did not result in one single instance connected with cervical ankylosing hyperostosis. Only a few cases with laryngotracheal symptoms and respiratory distress due to DISH have been reported [2,13,20]. In these latter cases osteophytes mainly occur in the segments C5-6 contiguous to the cricoid plate [8].…”

Section: Discussionmentioning

confidence: 99%

Diffuse idiopathic skeletal hyperostosis causing obstructing laryngeal edema

Marks

Schober

Swoboda

1998

European Archives of Oto-Rhino-Laryngology

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Diffuse idiopathic skeletal hyperostosis (DISH), or ankylosing hyperostosis ("Forestier's disease"), is an ossifying diathesis of unknown etiology. Diagnosis is primarily radiologic: osseous bridging of at least four contiguous vertebral bodies, a radiolucent line between the deposited bone and the anterior vertebral surface, large osteophytes and preservation of disk height especially in the cervical and lumbar spine. Although DISH is found in 6-12% of autopsy cases, clinical features are rare and consist primarily of swallowing disorders. A case of DISH is reported in which excessively enlarged cervical osteophytes led to edema of the laryngeal inlet and consequent severe dyspnea, necessitating emergency tracheotomy. Surgical excision of the osteophytic masses resulted in relief of symptoms. Symptomatology, radiographic features and individual treatments are discussed, with the latter dependent on clinical symptoms.

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“…In the past dysphagia because of OALL has been confused with that caused by degenerative disc disease because of poor recognition of ossification of the spinal ligaments. [10][11][12][13][14][15][16][17][18][19][20] The management of symptomatic OALL is still controversial. Although conservative treatment with antiinflammatory medication may be effective, aspiration pneumonia has been described 1,17,21,22 and there may be myelopathy due to coexisting spinal stenosis.…”

mentioning

confidence: 99%

Symptomatic ossification of the anterior longitudinal ligament with stenosis of the cervical spine

Mizuno

Nakagawa

Song

2005

The Journal of Bone and Joint Surgery. British volume

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Seven men with a mean age of 63.9 years (59 to 67) developed dysphagia because of oesophageal compression with ossification of the anterior longitudinal ligament (OALL) and radiculomyelopathy due to associated stenosis of the cervical spine. The diagnosis of OALL was made by plain lateral radiography and classified into three types; segmental, continuous and mixed. Five patients had associated OALL in the thoracic and lumbar spine without ossification of the ligamentum flavum. All underwent removal of the OALL and six had simultaneous decompression by removal of ossification of the posterior longitudinal ligament or a bony spur. All had improvement of their dysphagia. Because symptomatic OALL may be associated with spinal stenosis, precise neurological examination is critical. A simultaneous microsurgical operation for patients with OALL and spinal stenosis gives good results without serious complications.

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Dysphagia and Dyspnoea as Complications in Spondylarthritis Ankylopoetica with Cervical Osteophytes

Cited by 20 publications

References 8 publications

Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited

Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited

Diffuse idiopathic skeletal hyperostosis causing obstructing laryngeal edema

Symptomatic ossification of the anterior longitudinal ligament with stenosis of the cervical spine

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