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Diffuse Idiopathic Skeletal Hyperostosis with Cervical Vertebra Involvement: A Case Report
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Case Report
VOLUME: 27 ISSUE: 3
P: 179-182
December 2021

Diffuse Idiopathic Skeletal Hyperostosis with Cervical Vertebra Involvement: A Case Report

Turk J Osteoporos 2021;27(3):179-182
DOI: 10.4274/tod.galenos.2021.75768
Mehmet Arslan
Halil Öğüt
Hayal Güler
Ayşe Dicle Turhanoğlu
1. Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Hatay, Türkiye
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No information available
Received Date: 08.07.2020
Accepted Date: 25.02.2021
Publish Date: 28.12.2021
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ABSTRACT

Diffuse idiopathic skeletal hyperostosis is a non-inflammatory disease characterized by ossification and calcification in soft tissues, such as enthesis and joint capsules. The thoracic vertebra is often affected; however, cervical vertebra involvement can also be seen. Diagnosis is made by observing ossifications in the anterior surface of the four vertebrae and excluding spinal degenerative and inflammatory diseases. Pain and movement limitation is frequently observed in cervical vertebra involvement, but symptoms, such as dysphagia, hoarseness, and snoring, may also occur. This study aimed to present a 69-year-old male patient with pain in the neck and back, movement limitations, and swallowing difficulties, mostly with solid foods. The cervical imaging of the patient revealed anterior ossifications that compress the esophagus and posterior ossifications without myelomalacia. Surgery was recommended to the patient for his progressive dysphagia but was refused. Partial improvement was achieved in the patient’s complaints with exercise and swallowing training in pain, movement limitation, and swallowing difficulties.

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