ArticleCureus2026
Spontaneous L4/L5 Dislocation Associated With Diffuse Idiopathic Skeletal Hyperostosis in a Young Patient With Severe Obesity: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors.
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Abstract
Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by extensive ossification of the spinal ligaments and entheses, resulting in a rigid spine that behaves biomechanically like a long bone. Although spinal fractures and dislocations after minor trauma are well recognized in ankylosed spines, non-traumatic spontaneous instability is rare. We report a rare case of spontaneous L4/L5 dislocation in a young patient with severe obesity and DISH. A 40-year-old man presented with progressive low back pain, bilateral lower extremity weakness, and bladder-bowel dysfunction. He had initially been treated at another hospital for septic shock due to urinary tract infection, but his neurological deficits persisted after improvement of the infection. On transfer to our institution, he was 168 cm tall, weighed 132 kg, and had a body mass index of 46.7 kg/m
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