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Cervical spine fracture in diffuse idiopathic skeletal hyperostosis
G M Mody1, R W Charles, H A Ranchod
1Department of Medicine, King Edward VIII Hospital, Durban, South Africa.
The Journal of Rheumatology
|January 1, 1988
Summary
Spinal fractures are common in ankylosing spondylitis but rare in diffuse idiopathic skeletal hyperostosis (DISH). This case highlights a DISH patient experiencing quadriplegia due to a cervical spine fracture-dislocation.
Area of Science:
- Orthopedics
- Rheumatology
- Neurosurgery
Background:
- Spinal fractures are frequently observed in patients with ankylosing spondylitis.
- Fractures are considered uncommon in diffuse idiopathic skeletal hyperostosis (DISH).
Observation:
- A 58-year-old Black male diagnosed with DISH presented with a cervical spine fracture-dislocation.
Findings:
- The patient developed quadriplegia following the cervical spine injury.
- This case underscores a rare complication in DISH patients.
Implications:
- Highlights the potential for severe spinal injuries in DISH.
- Emphasizes the need for vigilance in diagnosing and managing spinal trauma in DISH patients.