Related Experiment Video
Updated: Oct 1, 2025
04:19
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
620
Vertebral compression fracture with diffuse idiopathic skeletal hyperostosis
1Department of Internal and Family Medicine Takamatsu Heiwa Hospital Kagawa Japan.
Journal of General and Family Medicine
|March 9, 2022
Summary
A 90-year-old man experienced back pain due to a lumbar compression fracture, complicated by diffuse idiopathic skeletal hyperostosis (DISH). Surgical intervention was necessary, highlighting the importance of recognizing DISH in primary care.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Radiology
Background:
- Back pain is a prevalent condition in primary care.
- Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic skeletal disease.
- DISH can present with or without symptoms, often incidentally found on imaging.
Purpose of the Study:
- To report a case of lumbar compression fracture in a patient with DISH.
- To emphasize the clinical relevance of DISH in the context of traumatic spinal injuries.
- To highlight the diagnostic and management considerations for primary care physicians.
Main Methods:
- Case report of a 90-year-old Japanese male.
- Diagnostic imaging including X-ray and CT scans.
- Surgical intervention for spinal fracture.
Main Results:
- The patient presented with back pain following a fall.
- Imaging confirmed a compression fracture of the lumbar vertebrae.
- The fracture was associated with underlying diffuse idiopathic skeletal hyperostosis (DISH).
- Surgical management was successfully performed.
Conclusions:
- DISH can predispose individuals to fractures or complicate their management.
- Primary care physicians must be aware of DISH when evaluating patients with back pain and spinal injuries.
- Prompt diagnosis and appropriate intervention are crucial for managing such cases.
Related Concept Videos
01:29Bone Disorders
4.1K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
4.1K
01:27Fractures: Bone Repair
3.8K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.8K
01:16Vertebral Column: Regions and Curvature
4.5K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
4.5K
01:24Flail Chest-I
317
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
317