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Shafizad M, Sobhanian P, Ghadirzadeh E, Poormousa R, Godazandeh G. A Case Report of Early Surgical Intervention for Diffuse Idiopathic Skeletal Hyperostosis of the Cervical Spine: Challenges in Management. Iran J Neurosurg 2023; 9 : 14
URL: http://irjns.org/article-1-352-en.html
1- Department of Neurosurgery, School of Medicine, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
2- Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran , Drpooriasobhanian@outlook.com
3- Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
4- Department of Otolaryngology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
5- Department of Surgery, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (1088 Views)
Background and Importance: Diffuse idiopathic skeletal hyperostosis (DISH) can compress the trachea and esophagus when located in the cervical spine. In this report, we investigated whether it is preferable to perform the early surgical intervention in symptomatic patients or to wait and administer supportive care and perform late surgical intervention regardless of whether symptoms progress or not.
Case Presentation: We present the case of a 70-year-old patient with diffuse idiopathic skeletal hyperostosis (DISH) causing significant dysphagia and unilateral vocal cord paresis, resulting in dyspnea and stridor. Imaging diagnostics revealed large osteophytes anterior to the cervical spine from C3 to C6 compressing the cervical spine. Significant clinical improvement was observed following the anterior resection of the patient's osteophytes.
Conclusion: In order to achieve higher success and less recurrence, it is preferable to perform surgical intervention earlier in the disease's progression. However, more studies are necessary to confirm this because most of the present results are from case report articles and have less evidence.
 
Article number: 14
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Type of Study: Case report | Subject: Spine

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