Diffuse Idiopathic Skeletal Hyperostosis

2019 ◽  
pp. 221-223
Author(s):  
Kevin B. Hoover
Keyword(s):  
Cervical Spine ◽  
Imaging Techniques ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Surgical Removal ◽  
Spine Fractures ◽  
Imaging Features ◽  
Benign Condition ◽  
Seronegative Spondyloarthropathies ◽  
Clinically Significant

Chapter 48 discusses diffuse idiopathic skeletal hyperostosis (DISH), which is a rarely symptomatic, benign condition of extensive ossification of ligament and tendon attachments to bone. It is primarily overlap of the imaging features of DISH and the seronegative spondyloarthropathies (SpA) that makes it a clinically significant entity. Imaging is frequently limited to radiographs of the spine acquired for unrelated reasons. MRI and CT are secondary imaging techniques most helpful in distinguishing DISH from the SpA and evaluating spine fractures. Treatment is rare, but surgical removal of anterior cervical spine ossifications may be required in cases of dysphagia.

Trauma Imaging of the Acute Cervical Spine

2017 ◽  
Vol 21 (03) ◽  
pp. 184-198 ◽  
Author(s):  
Daniela Berritto ◽  
Antonio Pinto ◽  
Paul Michelin ◽  
Xavier Demondion ◽  
Sammy Badr
Keyword(s):  
Cervical Spine ◽  
Emergency Radiology ◽  
Surgical Intervention ◽  
Wide Spectrum ◽  
Spine Fractures ◽  
Imaging Features ◽  
Spine Trauma ◽  
Complex Anatomy ◽  
Cervical Spine Fractures ◽  
Significant Injury

Among patients admitted in emergency departments for acute cervical spine trauma, only a few have a confirmed and significant injury requiring surgical intervention. Imaging plays a key role in screening for unstable lesions that can be responsible for devastating neurologic complications or death. The complex anatomy of the cervical spine is associated with a wide spectrum of osseous and ligamentous pathologies. This review focuses on the imaging features of the main cervical spine fractures that can be encountered in emergency radiology.

scholarly journals Cervical vertebral injuries associated with the ossification of the posterior longitudinal ligament: Imaging features

2017 ◽  
Vol 6 (3) ◽  
pp. 205846011769585 ◽  
Author(s):  
Tetsuo Nakayama ◽  
Shigeru Ehara
Keyword(s):  
Cervical Spine ◽  
Posterior Longitudinal Ligament ◽  
Fracture Dislocation ◽  
Spine Injury ◽  
Spine Fractures ◽  
Minor Trauma ◽  
Imaging Features ◽  
Cervical Fractures ◽  
Different Types ◽  
Cervical Spine Fractures

Background Spinal injuries associated with ossification of the posterior longitudinal ligament (OPLL) have been characterized. However, the imaging features of traumatic cervical spine fractures in patients with OPLL have not been assessed adequately. Purpose To characterize the patterns of traumatic cervical spine fractures associated with different types of OPLL. Material and Methods We retrospectively analyzed the patterns of fractures resulting from cervical spine injury in patients with OPLL of different types and assessed the fracture patterns in patients with ankylosed segments. Results Twenty-six patients (23 men, 3 women; median age, 67.0 years; age range, 43–87 years) were included. Fall from a height <3 m was the most common trauma. Contiguous type OPLL was seen in 11 patients (42%), segmental type in 11 (42%), and mixed type in four (15%). Four of the contiguous OPLL and one of the mixed OPLL patients had ankylosed segments. The incidence of cervical fractures was 69% (16/26): seven (64%) in contiguous OPLL, five (46%) in segmental OPLL, and in all four patients with mixed OPLL. Unilateral interfacetal fracture-dislocation was most common (4/16); the others were bilateral interfacetal fracture-dislocation, fractures through the ankylosed segment, transdiscal fractures, isolated facet fractures, and compression fractures. Cervical fractures were exclusively observed in the C4 to C7, except in one case occurred at the C2 level. Conclusion Interfacetal fracture-dislocation in the lower cervical vertebrae constitutes the most common injury resulting from minor trauma.

DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS OF THE CERVICAL SPINE - DIAGNOSIS, TREATMENT

Vestnik ◽  
2021 ◽  
pp. 107-112
Author(s):  
М.А. Алиев ◽  
М.Ж. Мирзабаев ◽  
Б.М. Аглаков ◽  
Д.Б. Мустафинов ◽  
М.С. Алматов ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Airway Obstruction ◽  
Bone Growth ◽  
Anterior Part ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Vertebral Bodies ◽  
Clinically Significant ◽  
Diagnostic Criterion ◽  
Systemic Condition ◽  
Significant Symptom

Диффузный идиопатический скелетный гиперостоз - системное состояние, характеризующееся наличием по меньшей мере трех костных мостиков в переднебоковом отделе позвоночника. Распространенность заболевания составляет 2,9% - 42,0%. Важным компонентом для диагностики гиперостоза было наличие костного нароста в передней части смежных позвонков. Дебют диффузного идиопатического скелетного гиперостоза протекает бессимптомно, в результате чего заболевание обнаруживается как случайное открытие во время рентгенологического обследования других заболеваний. Клинически значимым симптомом гиперостоза в шейном отделе является дисфагия и обструкция дыхательных путей. В результате костного нароста, расположенного кпереди от тел позвонков в шейном отделе позвоночника, трахея и пищевод смещаются, что приводит к дисфагии и обструкции дыхательных путей, что является главным диагностическим критерием и показанием к оперативному лечению. Diffuse idiopathic skeletal hyperostosis is a systemic condition characterized by the presence of at least three bone bridges in the anterolateral spine. The prevalence of the disease is 2.9% - 42.0%. An important component for the diagnosis of hyperostosis was the presence of a bone growth in the anterior part of the adjacent vertebrae. The onset of diffuse idiopathic skeletal hyperostosis is asymptomatic, as a result of which the disease is detected as an accidental discovery during X-ray examination of other diseases. A clinically significant symptom of cervical hyperostosis is dysphagia and airway obstruction. As a result of the bone growth located anteriorly from the vertebral bodies in the cervical spine, the trachea and esophagus are displaced, which leads to dysphagia and airway obstruction, which is the main diagnostic criterion and indication for surgical treatment.

Cervical Spine Fractures in Athletes

1990 ◽  
Vol 9 (1) ◽  
pp. 13-29 ◽  
Author(s):  
Michael R. Marks ◽  
Gordon R. Reli ◽  
Francis R.S. Roumphrey
Keyword(s):  
Cervical Spine ◽  
Spine Fractures ◽  
Cervical Spine Fractures

scholarly journals Surgical Treatment of Diffuse Idiopathic Skeletal Hyperostosis (DISH) Involving the Cervical Spine: Technical Nuances and Outcome of a Multicenter Experience

2021 ◽  
pp. 219256822098827
Author(s):  
Giorgio Lofrese ◽  
Alba Scerrati ◽  
Massimo Balsano ◽  
Roberto Bassani ◽  
Michele Cappuccio ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Clinical Outcome ◽  
Waiting Times ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Surgical Strategies ◽  
Bone Removal ◽  
Mild Dysphagia

Study Design: Retrospective multicenter. Objectives: diffuse 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. Methods: Patients 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. Results: 24 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 ( P = 0.12) to the burr ( P = 0.65), and whenever C2-C3 was decompressed, whether hyperostosis included that level ( P = 0.15). Use of curved chisel reduced the surgical times ( P = 0.02) and, together with the nasogastric tube, the risk of complications, while bone removal involving 3 levels or more ( P = 0.04) and shorter waiting times for surgery ( P < 0.001) positively influenced a complete swallowing recovery. Early decompressions were preferred, resulting in 66.6% of patients reporting disappearance of symptoms within 7 days. One and two recurrences respectively at clinical and radiological follow-up were registered 18-30 months after surgery. Conclusion: The “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.

scholarly journals Tophaceous gout of the atlantoaxial joint: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Andrew Benjamin Romero ◽  
Evan Paul Johnson ◽  
John S. Kirkpatrick
Keyword(s):  
Cervical Spine ◽  
Tissue Sample ◽  
Significant Finding ◽  
Atlantoaxial Joint ◽  
Tophaceous Gout ◽  
Case Presentation ◽  
American College Of Rheumatology ◽  
European League Against Rheumatism ◽  
History Of ◽  
Clinically Significant

Abstract Background To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. Case presentation This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-year-old Caucasian man with a 40-year history of crystal-proven gout and a 3-month history of new-onset progressive myelopathy. The patient's American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria score was 15.0. Conclusion Spinal gout is more common than previously thought, and it should be considered in patients who present with symptoms of myelopathy. Diagnosis can be made without a tissue sample of the affected joint(s) with tools like the ACR/EULAR criteria and the use of the “diagnostic clinical rule” for determining the likelihood of gout. Early conservative management with neck immobilization and medical management can avoid the need for surgical intervention.

Intelligent diagnosis and analysis of brain lymphoma based on imaging features

2021 ◽  
pp. 1-11
Author(s):  
Yipu Mao ◽  
Muliang Jiang ◽  
Fanyu Zhao ◽  
Liling Long
Keyword(s):  
Imaging Techniques ◽  
Experimental Studies ◽  
Diagnostic Value ◽  
Imaging Features ◽  
Flow Properties ◽  
Brain Lymphoma ◽  
Diagnosis And Prognosis ◽  
Primary Brain Lymphoma ◽  
Set Up ◽  
Prognosis Evaluation

Currently, DSC has been extensively studied in the diagnosis, differential diagnosis and prognosis evaluation of brain lymphoma, but it has not obtained a uniform standard. By combining DSC imaging features, this study investigated the imaging features and diagnostic value of several types of tumors such as primary brain lymphoma. At the same time, this study obtained data from brain lymphoma patients by data collection and set up different groups to conduct experimental studies to explore the correlation between IVIM-MRI perfusion parameters and DSC perfusion parameters in brain lymphoma. Through experimental research, it can be seen that the combination of two perfusion imaging techniques can more fully reflect the blood flow properties of the lesion, which is beneficial to determine the nature of the lesion.

scholarly journals Mortality in Elderly Patients After Cervical Spine Fractures

2010 ◽  
Vol 92 (3) ◽  
pp. 567-574 ◽  
Author(s):  
Mitchel B Harris ◽  
William M Reichmann ◽  
Christopher M Bono ◽  
Kim Bouchard ◽  
Kelly L Corbett ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Elderly Patients ◽  
Spine Fractures ◽  
Cervical Spine Fractures
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