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Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review

Diffuse idiopathic skeletal hyperostosis (DISH) is a condition in which minor trauma can cause extremely unstable vertebral fractures. Spinal fractures associated with DISH are prone to instability due to the large moment of lever arm and secondary neurological deterioration; hence, surgical interna...

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Autores principales: UMEGAKI, Masao, FUKUNAGA, Takanori, NINOMIYA, Koshi, MATSUMOTO, Katsumi, SASAKI, Manabu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771471/
https://www.ncbi.nlm.nih.gov/pubmed/36589779
http://dx.doi.org/10.2176/jns-nmc.2022-0209
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author UMEGAKI, Masao
FUKUNAGA, Takanori
NINOMIYA, Koshi
MATSUMOTO, Katsumi
SASAKI, Manabu
author_facet UMEGAKI, Masao
FUKUNAGA, Takanori
NINOMIYA, Koshi
MATSUMOTO, Katsumi
SASAKI, Manabu
author_sort UMEGAKI, Masao
collection PubMed
description Diffuse idiopathic skeletal hyperostosis (DISH) is a condition in which minor trauma can cause extremely unstable vertebral fractures. Spinal fractures associated with DISH are prone to instability due to the large moment of lever arm and secondary neurological deterioration; hence, surgical internal fixation is considered necessary. On the other hand, some reports suggest that patients with DISH have a high osteogenic potential. In this report, we describe three patients with DISH. These patients had spinal injuries that resulted in a large gap, for which anterior fixation with bone graft would generally be considered due to comminuted fractures. However, we achieved good bony fusion with posterior fixation alone, without forcible correction.
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spelling pubmed-97714712022-12-30 Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review UMEGAKI, Masao FUKUNAGA, Takanori NINOMIYA, Koshi MATSUMOTO, Katsumi SASAKI, Manabu NMC Case Rep J Case Report Diffuse idiopathic skeletal hyperostosis (DISH) is a condition in which minor trauma can cause extremely unstable vertebral fractures. Spinal fractures associated with DISH are prone to instability due to the large moment of lever arm and secondary neurological deterioration; hence, surgical internal fixation is considered necessary. On the other hand, some reports suggest that patients with DISH have a high osteogenic potential. In this report, we describe three patients with DISH. These patients had spinal injuries that resulted in a large gap, for which anterior fixation with bone graft would generally be considered due to comminuted fractures. However, we achieved good bony fusion with posterior fixation alone, without forcible correction. The Japan Neurosurgical Society 2022-12-01 /pmc/articles/PMC9771471/ /pubmed/36589779 http://dx.doi.org/10.2176/jns-nmc.2022-0209 Text en © 2022 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
spellingShingle Case Report
UMEGAKI, Masao
FUKUNAGA, Takanori
NINOMIYA, Koshi
MATSUMOTO, Katsumi
SASAKI, Manabu
Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review
title Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review
title_full Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review
title_fullStr Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review
title_full_unstemmed Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review
title_short Diffuse Idiopathic Skeletal Hyperostosis with Severely Displaced Spine Fracture Managed with Posterior Approach Alone: Case Reports and Literature Review
title_sort diffuse idiopathic skeletal hyperostosis with severely displaced spine fracture managed with posterior approach alone: case reports and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771471/
https://www.ncbi.nlm.nih.gov/pubmed/36589779
http://dx.doi.org/10.2176/jns-nmc.2022-0209
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