Lumbar Spinal Stenosis in a Patient With Diffuse Idiopathic Skeletal Hypertrophy Syndrome

  title={Lumbar Spinal Stenosis in a Patient With Diffuse Idiopathic Skeletal Hypertrophy Syndrome},
  author={Robert R. Karpman and Philip R. Weinstein and Eric P. Gall and Peter C. Johnson},
Lumbar spinal stenosis is associated with a variety of conditions, including dysplastic narrowing of the spine, lumbar spondylosis, Paget's disease, and achondroplastic dwarfism. No case of lumbar stenosis associated with diffuse idiopathic skeletal hyperostosis (DISH) previously has been described. It would appear that this case could represent either another manifestation of DISH characterized by involvement of the ligamentum flavum or coincidental association with lumbar spondylosis. In… 

Diffuse Idiopathic Skeletal Hyperostosis: Musculoskeletal Manifestations

  • T. BelangerD. Rowe
  • Medicine
    The Journal of the American Academy of Orthopaedic Surgeons
  • 2001
The condition is recognized radiographically by the presence of “flowing” ossification along the anterolateral margins of at least four contiguous vertebrae and the absence of changes ofSpondyloarthropathy or degenerative spondylosis.

Diffuse idiopathic skeletal hyperostosis is associated with lumbar spinal stenosis requiring surgery

Diffuse idiopathic skeletal hyperostosis is independently associated with lumbar spinal stenosis requiring surgery and the decrease in the lower mobile segments by DISH may increase the onset or severity of LSS.

Extraskeletal symptoms and comorbidities of diffuse idiopathic skeletal hyperostosis.

  • R. Terzi
  • Medicine
    World journal of clinical cases
  • 2014
This article reviews extraskeletal symptoms and associated comorbidities in patients with DISH and recommends a multidisciplinary approach for the treatment of DISH.

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Non-operative modalities by and large are unsuccessful in altering the natural history; however, a 3–6 month course of non-operative treatment is recommended prior to proceeding to surgical management.

Fractures in Spinal Ankylosing Disorders: A Narrative Review of Disease and Injury Types, Treatment Techniques, and Outcomes

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If patients with Forestier disease are observed for a long period ossification of the sacroiliac joints will be seen, as in ankylosing spondylitis, with loss of sacro-iliac pain when present.