ArticleGlobal spine journal2022
Surgical Treatment of Diffuse Idiopathic Skeletal Hyperostosis (DISH) Involving the Cervical Spine: Technical Nuances and Outcome of a Multicenter Experience.
Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Surgical versus Nonsurgical Management of Traumatic Fracture in Geriatric Patients with Diffuse Idiopathic Skeletal Hyperostosis.Asian journal of neurosurgery · 2026Article
- Anterior Cervical Osteophyte Thinning for Forestier's Disease: A Case Series, Scoring System and Treatment Algorithm.Neurosurgery practice · 2026Article
- Use of ultrasonic bone dissector in diffuse idiopathic skeletal hyperostosis involving the cervical spine.Annals of medicine and surgery (2012) · 2025Article
- Anterior cervical osteotomy of diffuse idiopathic skeletal hyperostosis lesions with computer-assisted navigation surgery: A case report.Clinical case reports · 2024Article
- Impact of Diffuse Idiopathic Skeletal Hyperostosis on Clinico-Radiological Profiles and Prognosis for Thoracic Ossification of Ligamentum Flavum-Myelopathy: A Propensity-Matched Monocentric Analysis.Diagnostics (Basel, Switzerland) · 2022Article
- Diffuse idiopathic skeletal hyperostosis: A functional enemy of vertebral stability - Case series and surgical consideration of craniovertebral junction involvement.Journal of craniovertebral junction & spineArticle
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Authors and funding
23 authors.
Funding
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Abstract
STUDY
designRetrospective multicenter.
objectivesdiffuse idiopathic skeletal hyperostosis (DISH) involving the cervical spine is a rare condition determining disabling aero-digestive symptoms. We analyzed impact of preoperative settings and intraoperative techniques on outcome of patients undergoing surgery for DISH.
methodsPatients with DISH needing for anterior cervical osteophytectomy were collected. Swallow studies and endoscopy supported imaging in targeting bone decompression. Patients characteristics, clinico-radiological presentation, outcome and surgical strategies were recorded. Impact on clinical outcome of duration and time to surgery and different surgical techniques was evaluated through ANOVA.
results24 patients underwent surgery. No correlation was noted between specific spinal levels affected by DISH and severity of pre-operative dysphagia. A trend toward a full clinical improvement was noted preferring the chisel (
conclusionThe "age of DISH" counts more than patients' age with timeliness of decompression being crucial in determining clinical outcome even with a preoperative mild dysphagia. Targeted bone resections could be reasonable in elderly patients, while in younger ones more extended decompressions should be preferred.
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