Dysphagia caused by diffuse idiopathic skeletal hyperostosis

Fahrer, H; Markwalder, Thomas-Marc

doi:10.1007/bf02284068

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…the failure to differentiate between back and joint pain and the selection of probands from a department for locomotor diseases) have certainly led to an overestimation of DISH as a cause of back pain. While this study shows that back pain does not occur more frequently in spinal DISH positive probands than in controls, it is well known that spinal DISH may occasionally lead to stenosis of the spinal canal [16][17][18][19] and cause dysphagia [20,21].…”

Section: Discussionmentioning

confidence: 74%

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

et al. 1989

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SUMMARYThis is the first controlled study of the frequency of back pain in a European Caucasian population with diffuse idiopathic skeletal hyperostosis (DISH).Elderly patients admitted to hospital for reasons other than back pain were assessed for the presence of spinal DISH using the routine lateral chest radiograph films. A total of 106 probands (82 males, 24 females) with a mean age of 70 years fulfilled the criteria for DISH as defined previously. One hundred and seventyeight patients (117 males, 61 females) not meeting these criteria were used as controls. The prevalence of back pain was assessed by a blinded interviewer using a structured questionnaire. Our primary hypothesis was that spinal DISH positive probands had not had back pain more often than controls. This controlled study showed no statistically significant difference in pain frequency between spinal DISH positive probands and controls at any spinal level.We conclude that back pain does not occur more often in radiographically defined DISH positive probands than in controls. The radiological finding of spinal DISH, as far as it does not lead to stenosis of the spinal canal or dysphagia, thus seems to be a finding without clinical relevance.

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Section: Discussionmentioning

confidence: 74%

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

et al. 1989

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“…Fahrer and Markwalder reported that dysphagia was a frequent symptom in 20% of DISH patients, and that the C5/6 vertebral level was involved in up to 75% of these cases [5]. The main cause of this symptom is related to anatomical characteristics of the esophagus.…”

Section: Discussionmentioning

confidence: 99%

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Ido

Hashitani

Sakamoto

et al. 2002

J Orthopaed Traumatol

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IntroductionHypertrophic changes of the cervical spine including osteophytes are common, and occur in about 20%-30% of the elderly [1]. Such changes are usually asymptomatic and rarely cause dysphagia. In 1905, Zahn reported two cases of dysphagia due to hypertrophic osteophytes of the cervical spine [2]. In 1950, Forestier and Rotes-Querol described a case of senile ankylosing hyperostosis of the spine, a more severe type of hyperostosis than ankylosing spondylitis [3]. Resnick and Niwayama subsequently coined the term "diffuse idiopathic skeletal hyperostosis" (DISH) for Forestier's disease [4]. Here, we present three cases of dysphagia due to cervical hypertrophic osteophytes, which were treated by surgical resection. Case reportsThree men complained of increased dysphagia over the previous 1-3 years and limitation of the range of motion in the cervical spine (Table 1). They were treated by surgical resection of osteophytes after the compression site was confirmed by barium esophagography. Case 1A 68-year-old man had a 3-year history of dysphagia, which had been gradually worsening. The patient complained of dysphagia and limitation of neck motion. A plain radiogram J Orthopaed Traumatol (2002) 3:55-58

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“…Cervical involvement in DISH can be either asymptomatic or associated with various symptoms, including dysphagia, dyspnea, dysphonia, foreign body sensation, hoarseness, stridor, spinal rigidity, cervical pain, and neurological signs caused by medullary compression [ 1 ]. Dysphagia is one of the most common symptoms in patients with DISH, and its prevalence has been reported to be 17–25% in patients with DISH affecting the cervical spine [ 3 , 6 , 7 , 8 ]. In addition to mechanical compression by osteophyte formation, various mechanisms have been proposed to result in DISH-related dysphagia, including local inflammation, osteophyte-induced muscle spasm, restriction of movement of the epiglottis and larynx, and retention of food in the pyriform sinus due to indentation of the pharynx.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Dysphagia Secondary to Anterior Cervical Osteophytes Due to Diffuse Idiopathic Skeletal Hyperostosis

Choi

2022

Medicina

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Diffuse idiopathic skeletal hyperostosis (DISH) is an ossifying and ankylosing skeletal condition that can be associated with DISH-related dysphagia in the case of cervical involvement. In contrast to most cases of dysphagia, which are managed conservatively, DISH-related dysphagia can be discouraging due to the progressive nature of DISH. We report two cases of DISH-related dysphagia that were treated with the surgical removal of osteophytes via an anterolateral approach. We were able to remove osteophytes using the bottleneck point as an anatomical landmark between the vertebral body and the bony excrescence. Patients’ symptoms improved following osteophyte removal, without recurrence. In cases of DISH-related dysphagia, osteophyte removal using an osteotome could improve dysphagia safely and quickly.

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Dysphagia caused by diffuse idiopathic skeletal hyperostosis

Cited by 10 publications

References 14 publications

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

Untitled

Surgical Treatment of Dysphagia Secondary to Anterior Cervical Osteophytes Due to Diffuse Idiopathic Skeletal Hyperostosis

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