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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japan Neurosurgical Society
2022
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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. |
format | Online Article Text |
id | pubmed-9771471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Japan Neurosurgical Society |
record_format | MEDLINE/PubMed |
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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