Rothschild B M
Menorah Medical Center, Kansas City, MO.
Compr Ther. 1988 Feb;14(2):65-9.
The ubiquitous nature of spinal ligamentous calcification in the paleontologic record provides additional support for the suggestion that DISH is a protective phenomenon rather than a musculoskeletal disease, and perhaps represents a normal variant. Clinical assessment of contemporary DISH suggests a protective mechanical effect, paradoxically associated with increased risk of hypertension and cerebrovascular accident. DISH should probably not be considered a satisfactory explanation for back pain, but the presence of spinal ligamentous calcification requires that the patient be assessed for hypertension and that aggressive therapy be instituted for any found.
脊柱韧带钙化在古生物学记录中普遍存在，这为“弥漫性特发性骨肥厚（DISH）是一种保护性现象而非肌肉骨骼疾病，可能代表一种正常变异”这一观点提供了更多支持。对当代DISH的临床评估表明其具有保护性机械作用，这看似矛盾地与高血压和脑血管意外风险增加相关。DISH可能不应被视为对背痛的一个令人满意的解释，但脊柱韧带钙化的存在要求对患者进行高血压评估，并对发现的任何高血压进行积极治疗。
