Resnick D, Guerra J, Robinson C A, Vint V C
AJR Am J Roentgenol. 1978 Dec;131(6):1049-53. doi: 10.2214/ajr.131.6.1049.
Diffuse idiopathic skeletal hyperostosis (DISH) is a common ossifying diathesis in middle-aged and elderly patients characterized by bone proliferation along the anterior aspect of the spine and at extraspinal sites of ligament and tendon attachment to bone. Four patients with DISH revealed extensive calcification and ossification of the posterior longitudinal ligament in the cervical spine. Review of cervical spine radiographs in 74 additional patients with DISH demonstrated bony hyperostosis of the posterior aspect of the vertebrae in 41%, posterior spinal osteophytosis in 34%, and posterior longitudinal ligament calcification and ossification in 50%. These ligamentous findings, which have previously been described almost exclusively in Japanese people, appear to be an additional skeletal manifestation of DISH.
弥漫性特发性骨肥厚（DISH）是中老年患者中常见的一种骨化素质，其特征是沿着脊柱前方以及韧带和肌腱附着于骨的脊柱外部位出现骨质增生。4例DISH患者显示颈椎后纵韧带广泛钙化和骨化。对另外74例DISH患者的颈椎X线片进行回顾性分析发现，41%的患者椎体后方有骨质增生，34%的患者有脊柱后骨赘形成，50%的患者有后纵韧带钙化和骨化。这些韧带改变此前几乎仅在日本人中被描述过，似乎是DISH的一种额外骨骼表现。
