Diffuse idiopathic skeletal hyperostosis causing dysphagia:
Diffuse idiopathic skeletal hyperostosis is a noninflammatory systemic disease characterized by the osteophyte formation of vertebrae and ossification of various extraspinal ligaments. Although DISH is a relatively common disease, cervical involvement causing dysphagia is rare. In this report, published in the Journal of Clinical & Experimental Orthopaedics, the authors present such a case.

A 60-year-old male was admitted to with the complaint of progressive difficulty in swallowing. He had no history trauma and systemic disease. He also had been examined by gastroenterology and otolaryngology departments and fibro-optic endoscopic examination had been performed.

Neurological and physical examinations were normal. Lateral cervical plain radiography showed cervical osteophytes and flowing ossification along the anterior aspects of the C2-C6 vertebral bodies. Intervertebral disc spaces were spared and ankylosis of apophysial joints was absent. Cervical Magnetic resonance examination obtained to exclude intraspinal pathologies also revealed cervical osteophytes compressing the esophagus.

Cervical osteophytes removed using high-speed air drill via anterior cervical approach. Discectomy and cervical stabilization were not performed. Postoperative period was uneventful. Postoperative plain radiography and computerized tomography scan showed successful removal of the cervical osteophytes. Difficulty in swallowing gradually improved. The patient was symptom free at last follow up examination 1 year after the operation.

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