Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul 05278, Korea.
Medicina (Kaunas). 2022 Jul 13;58(7):928. doi: 10.3390/medicina58070928.
Diffuse idiopathic skeletal hyperostosis (DISH) is an ossifying and ankylosing skeletal condition that can be associated with DISH-related dysphagia in the case of cervical involvement. In contrast to most cases of dysphagia, which are managed conservatively, DISH-related dysphagia can be discouraging due to the progressive nature of DISH. We report two cases of DISH-related dysphagia that were treated with the surgical removal of osteophytes via an anterolateral approach. We were able to remove osteophytes using the bottleneck point as an anatomical landmark between the vertebral body and the bony excrescence. Patients' symptoms improved following osteophyte removal, without recurrence. In cases of DISH-related dysphagia, osteophyte removal using an osteotome could improve dysphagia safely and quickly.
弥漫特发性骨肥厚（DISH）是一种骨化和强直性骨骼疾病，在颈椎受累的情况下可能与 DISH 相关的吞咽困难有关。与大多数保守治疗的吞咽困难不同，DISH 相关的吞咽困难由于 DISH 的进行性，可能令人沮丧。我们报告了两例通过前路手术切除骨赘治疗 DISH 相关吞咽困难的病例。我们能够使用瓶颈点作为椎体和骨性赘生物之间的解剖标志来切除骨赘。在骨赘切除后，患者的症状得到改善，没有复发。对于 DISH 相关的吞咽困难，使用骨凿切除骨赘可以安全、快速地改善吞咽困难。
