Krolicki Bartosz, Mandat Victor, Mandat Tomasz S
Department of Neurosurgery, Maria Sklodowska-Curie Memorial Oncology Institute, 02-781 Warsaw, Poland.
Department of Biology, University of Toronto Mississauga, Toronto, ON L5L 1C6, Canada.
Geriatrics (Basel). 2025 Jul 7;10(4):92. doi: 10.3390/geriatrics10040092.
: Diffuse idiopathic skeleton hyperostosis (DISH) is also known as Forestier-Rotes-Querol syndrome. The etiology of DISH is unknown. DISH is characterized by ossification of the anterior longitudinal ligaments of the spine. The area most frequently involved in the disease is the thoracic region of the spine. DISH in most cases is asymptomatic. If the cervical spine is involved, the most common symptoms are dysphagia and dyspnea. The ossifications in the cervical region of the spine are localized most frequently in its lower segments. : The authors present the case of a 92-year-old cachectic female patient (body mass index (BMI) of 17; lost 13% of her body weight within the last 6 months). The patient underwent resection of the anterior osteophytes C2-T1. Results: At one-year follow up, the patient had gained weight (BMI-20) and regained her ability to consume solid products. To our knowledge, this is the oldest patient treated surgically for DISH. : If dysphagia or dyspnea appears among elderly patients, cervical spine inspection should be conducted. If DISH is diagnosed safe, effective surgical treatment should be considered.
弥漫性特发性骨肥厚（DISH）也被称为福雷斯蒂耶 - 罗特斯 - 克勒尔综合征。DISH的病因尚不清楚。DISH的特征是脊柱前纵韧带骨化。该病最常累及的部位是脊柱的胸段。大多数情况下，DISH无症状。如果颈椎受累，最常见的症状是吞咽困难和呼吸困难。脊柱颈椎区域的骨化最常发生在其下段。作者介绍了一名92岁消瘦女性患者的病例（体重指数（BMI）为17；在过去6个月内体重减轻了13%）。该患者接受了C2 - T1椎体前方骨赘切除术。结果：在一年的随访中，患者体重增加（BMI为20），并恢复了食用固体食物的能力。据我们所知，这是接受DISH手术治疗的最年长患者。如果老年患者出现吞咽困难或呼吸困难，应进行颈椎检查。如果确诊为DISH，应考虑安全、有效的手术治疗。
