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Delayed leg paraplegia associated with hyperextension injury in patients with diffuse idiopathic skeletal hyperostosis (DISH): case report and review of the literature

Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by calcifications and ossification of ligaments and tendon insertions. The patients with DISH are susceptible to spinal column injury with trivial trauma due to immobilization of vertebrae and this easily leads to spinal cord injury. H...

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Detalles Bibliográficos
Autores principales: Yamamoto, Tatsuya, Kobayashi, Yoshiomi, Ogura, Yoji, Takahashi, Yohei, Shinozaki, Yoshio, Ogawa, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400423/
https://www.ncbi.nlm.nih.gov/pubmed/28458848
http://dx.doi.org/10.1093/jscr/rjx040
Descripción
Sumario:Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by calcifications and ossification of ligaments and tendon insertions. The patients with DISH are susceptible to spinal column injury with trivial trauma due to immobilization of vertebrae and this easily leads to spinal cord injury. However, only few reports on hyperextension injuries of the thoracolumbar spine with DISH exist. Here we report three cases of those who developed delayed leg paraplegia after hyperextension injuries of the thoracolumbar spine with DISH. All cases complained only lower back pain without neurological deficits and plain radiographs showed no fractures at an initial assessment. The spinal fracture caused by hyperextension injury was diagnosed with computed tomography (CT) and magnetic resonance image (MRI) after delayed leg paraplegia occurred. Many of the fractures caused by hyperextension injuries are not detected only with plain radiographs in patients with DISH. Further investigations using CT and/or MRI should be recommended.