Department of Neurological Surgery, University of California, Davis Medical Center, Sacramento, California, United States.
Global Spine J. 2015 Oct;5(5):e78-83. doi: 10.1055/s-0035-1546954. Epub 2015 Feb 26.
Study Design Retrospective case series. Objective Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier disease involves hyperostosis of the spinal column. Hyperostosis involving the anterior margin of the cervical vertebrae can cause dysphonia, dyspnea, and/or dysphagia. However, the natural history pertaining to the risk factors remain unknown. We present the surgical management of two cases of dysphagia secondary to cervical hyperostosis and discuss the etiology and management of DISH based on the literature review. Methods This is a retrospective review of two patients with DISH and anterior cervical osteophytes. We reviewed the preoperative and postoperative images and clinical history. Results Two patients underwent anterior cervical osteophytectomies due to severe dysphagia. At more than a year follow-up, both patients noted improvement in swallowing as well as their associated pain. Conclusion The surgical removal of cervical osteophytes can be highly successful in treating dysphagia if refractory to prolonged conservative therapy.
回顾性病例系列。目的：弥漫特发性骨肥厚（DISH）或 Forestier 病涉及脊柱的骨过度生长。颈椎前缘的骨过度生长可导致发声困难、呼吸困难和/或吞咽困难。然而，关于危险因素的自然病史仍不清楚。我们介绍了两例因颈椎骨肥厚导致吞咽困难的手术治疗，并根据文献复习讨论了 DISH 的病因和治疗方法。方法：这是对两例 DISH 和颈椎前缘骨赘患者的回顾性研究。我们回顾了术前和术后的图像和临床病史。结果：两名患者因严重吞咽困难而行前路颈椎骨赘切除术。在超过一年的随访中，两名患者均注意到吞咽困难和相关疼痛的改善。结论：如果对长期保守治疗无反应，颈椎骨赘切除术在治疗吞咽困难方面非常成功。
