Karpman R R, Weinstein P R, Gall E P, Johnson P C
Spine (Phila Pa 1976). 1982 Nov-Dec;7(6):598-603. doi: 10.1097/00007632-198211000-00014.
Lumbar spinal stenosis is associated with a variety of conditions, including dysplastic narrowing of the spine, lumbar spondylosis, Paget's disease, and achondroplastic dwarfism. No case of lumbar stenosis associated with diffuse idiopathic skeletal hyperostosis (DISH) previously has been described. It would appear that this case could represent either another manifestation of DISH characterized by involvement of the ligamentum flavum or coincidental association with lumbar spondylosis. In either case, physicians treating spinal and skeletal diseases should be aware of potential neurologic complications requiring surgical decompression due to narrowing of the spinal canal in this unusual disorder.
腰椎管狭窄与多种疾病相关，包括脊柱发育异常性狭窄、腰椎骨质增生、佩吉特病和软骨发育不全性侏儒症。此前尚无腰椎管狭窄与弥漫性特发性骨肥厚（DISH）相关的病例报道。看来该病例可能代表以黄韧带受累为特征的DISH的另一种表现形式，或者是与腰椎骨质增生的巧合关联。无论哪种情况，治疗脊柱和骨骼疾病的医生都应意识到，在这种不寻常的疾病中，由于椎管狭窄可能会出现需要手术减压的潜在神经并发症。
