794 results match your criteria: "Imaging in Diffuse Idiopathic Skeletal Hyperostosis"

Background: Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic non-inflammatory disorder characterized by enthesopathy and osteophyte formation. DISH can also cause several other symptoms. Limited range of motion (ROM) is the most common symptom; however, dysphagia and respiratory distress are clinically important symptoms.

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The 'Tree trunk and root' model: key imaging findings may anatomically differentiate axial psoriatic arthritis and DISH from axial spondyloarthropathy.

Clin Radiol

October 2024

Leicester Royal Infirmary, University Hospitals of Leicester, Leicester, LE1 5WW, UK; School of Sport, Exercise and Health Sciences, Loughborough University, Epinal Way, Loughborough, Leicestershire, LE11 3TU, UK. Electronic address:

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Diffuse idiopathic skeletal hyperostosis: Imaging findings with special focus on extraspinal involvement.

Radiologia (Engl Ed)

October 2024

Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain; Fundación Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain.

Diffuse Idiopathic Skeletal Hyperostosis (IDHS) is a multifactorial disease with a high prevalence and that is frequently detected incidentally in imaging tests. Most of its diagnostic criteria are focused on axial involvement and more specifically the spine. However, peripheral involvement in DISH is less well known despite its non insignificant frequency.

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[Traumatic injuries in ankylosing spinal diseases].

Unfallchirurgie (Heidelb)

November 2024

Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.

Ankylosing spinal diseases, such as ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH), are highly important in spinal traumatology and are therefore specifically considered in the AO Spine Classification of spinal injuries. These diseases make the spine extremely susceptible to injury and also complicate the diagnosis and treatment, leading to an increased mortality. Concomitant neurological injuries are frequent.

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Article Synopsis
  • The study investigates bone formation in the facet joints (FJs) of patients with radiographic axial spondyloarthritis (r-axSpA) compared to those with diffuse idiopathic skeletal hyperostosis (DISH), osteoarthritis (OA), and a control group.
  • It identifies specific lesions in FJs related to r-axSpA, noting that bilateral FJ ankylosis and erosions are significantly more common in r-axSpA patients, while DISH and OA show different types of changes.
  • The most frequent progression pattern in r-axSpA is the transition from normal FJs to ankylosis, taking an average of 2.63 years, with other progression patterns also observed
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  • - The study investigates the impact of Diffuse Idiopathic Skeletal Hyperostosis (DISH) on the risk of Coronary Artery Disease (CAD), finding a significant association between DISH and higher CAD complexity.
  • - Researchers analyzed data from 187 patients, identifying that 44.4% had DISH, which correlated with increased SYNTAX scores, indicating more severe CAD, independent of traditional risk factors.
  • - Specifically, patients under 70 years with DISH had a sevenfold increased risk of severe CAD (SYNTAX score ≥34), suggesting that DISH could serve as a risk marker in cardiovascular assessments.
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  • * A case study of a 72-year-old man with progressive dysphagia revealed no abnormalities in typical procedures like endoscopy and barium swallow but showed diffuse idiopathic skeletal hyperostosis (Forestier's disease) via x-ray and CT scan.
  • * The patient underwent a surgical procedure to remove the hyperostosis, leading to an immediate and lasting improvement in swallowing ability after three months.
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  • - This study reviews the clinical experiences of four male patients with bilateral vocal fold motion impairment (BVFMI) caused by diffuse idiopathic skeletal hyperostosis (DISH) and highlights the range of symptoms experienced, from severe breathing issues to voice problems.
  • - Two patients underwent surgery for osteophyte removal in the cervical spine, resulting in improved vocal fold mobility and better breathing and voice quality, while the other two opted for conservative treatment as their symptoms were manageable.
  • - The findings suggest that both surgical and non-surgical options can be effective for BVFMI, emphasizing the need for more research into the causes and treatment outcomes for this condition.
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Bone and entheseal targets for growth factors in diffuse idiopathic skeletal hyperostosis.

Semin Arthritis Rheum

October 2024

Adjunct Clinical Professor, Department of Medicine, Private Consulting Rooms, Monash Medical Centre, School of Clinical Sciences at Monash Health, Monash University, 246 Clayton Road, Victoria, Clayton 3168, Australia. Electronic address:

Introduction: Diffuse idiopathic skeletal hyperostosis (DISH) is a common condition of the adult skeleton where new bone growth occurs in entheseal and bony regions. The cause for the new bone growth is unclear but many lines of evidence point to a role for growth factors linked to abnormal metabolism in these patients. The bone targets for these presumed growth factors are poorly defined.

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  • Differentiating between degenerative disc disease, diffuse idiopathic skeletal hyperostosis, and axial spondyloarthritis is challenging for patients with low back pain, necessitating a thorough evaluation of imaging features.
  • A study reviewed 136 patients referred for low back pain to assess how inflammatory and degenerative traits differ among these conditions using methods like conventional radiographs and MRIs.
  • Results showed that specific changes on imaging varied significantly across conditions, with distinct patterns in the lumbar, thoracic, and cervical spines, highlighting the need for careful diagnosis in clinical practice.
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Esophageal perforation with near fatal mediastinitis secondary to Th3 fracture.

Wien Klin Wochenschr

October 2024

Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 29/3, 8036, Graz, Austria.

A 74-year-old male patient was referred with signs of sepsis 5 days after having been diagnosed with a rib fracture following a fall out of bed. Novel hypodensities were visible on thoracic X‑rays and laboratory tests revealed elevated inflammatory parameters. Subsequently performed thoracic computed tomography (CT) scan showed burst fracture of the 3rd thoracic vertebra, posttraumatic esophageal rupture at the same level and mediastinitis.

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Salvage revisions of atlantoaxial (AA) joint complex posterior segmental instrumented fusion constructs require careful individualized planning to prevent occipital extension. In this case report, we describe the use of bilateral intrafacet spacer placement as a mobility-sparing bailout option for the revision surgery. A 64-year-old male with a history of diffuse idiopathic skeletal hyperostosis, extremely limited baseline cervical mobility, and prior AA posterior segmental instrumented fusion presented with increasing pain at his 6-month follow-up.

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Background Although the correlation between reduced skin thickness and reduced bone density has been investigated, no study has evaluated skin thickness and osteoproliferative diseases, including ossification of the posterior longitudinal ligament (OPLL) and diffuse idiopathic skeletal hyperostosis (DISH). Methodology This retrospective cohort study consisted of 99 consecutive patients aged ≥60 years treated for spinal surgery at our hospital between January 2022 and March 2023. Skin thickness was measured at the dorsal side of the cervical, thoracic, and lumbar vertebrae on the sagittal cross-section image of whole-spine CT.

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Objectives: We aimed to explore the radiographic definitions of types of New Bone formation (NBF) by focusing on the terminology, description and location of the findings.

Methods: Three systematic literature reviews were conducted in parallel to identify the radiographic spinal NBF definitions for spondyloarthritis (SpA), Diffuse Idiopathic Skeletal Hyperostosis (DISH) and Osteorathritis (OA). Study characteristics and definitions were extracted independently by two reviewers.

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Background: Diffuse idiopathic skeletal hyperostosis (DISH) is a potentially serious osteopathic disorder associated with coalescing ossifications of the anterior vertebrae and may be concomitant with a constellation of symptomatology and systemic comorbidities. There is limited dental literature describing this finding on panoramic radiographs and cone beam computed tomography (CBCT) scans.

Case Presentations: Two case reports of DISH are provided.

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Objectives: The purpose of our study was to characterise spatiotemporal features of disease progression in people with diffuse idiopathic skeletal hyperostosis (DISH), early-phase DISH, and those not meeting either criterion who had repeated CT scans of the thoracic spine.

Methods: A retrospective study was designed in collaboration with the to evaluate completeness of ectopic bridging across the thoracic spine and corresponding disease status over an average of 2.7 years (range from 0.

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Unlabelled: Anterior cervical osteophytes are a fairly common X-ray finding in people over 50 years old. Incidence of dysphagia in patients with anterior osteophytes varies from 1% in those aged 40-60 years to 10.6% in patients over 60 years old.

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Background: To achieve good bone fusion in anterior column reconstruction for vertebral fractures, not only bone mineral density (BMD) and bone metabolism markers but also lever arms due to bone bridging between vertebral bodies should be evaluated. However, until now, no lever arm index has been devised. Therefore, we believe that the maximum number of vertebral bodies that are bony and cross-linked with the contiguous adjacent vertebrae (maxVB) can be used as a measure for lever arms.

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Background: Unintentional falls are common among the elderly and given the expected increase of the aging population, these falls contribute to a high number of admissions to the emergency department. Relatively low-energy trauma mechanisms can lead to serious injuries in the elderly, with contributing factors being comorbidities, medication use and degenerative abnormalities.

Case Presentation: A 94-year-old female suffered an unintentional fall at home.

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Background:  It has been documented that diffuse idiopathic skeletal hyperostosis (DISH) exhibits a higher prevalence among elderly, male, and obese individuals. Additionally, diabetes mellitus and other comorbidities are more frequently observed in this patient population. However, there is a lack of reports exploring the correlation between the extent of ossification and these demographic and clinical characteristics.

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Article Synopsis
  • DISH is a condition that causes hardening of ligaments in the spine, leading to swallowing difficulties.
  • A 68-year-old man with sudden trouble swallowing had radiographic imaging show DISH lesions in his spine.
  • He was treated successfully with computer-assisted navigation in surgery, resulting in complete relief of symptoms within two weeks.
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