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Young thoracic vertebra diffuse idiopathic skeletal hyperostosis with Scheuermann disease: A case report
Wen-Zheng Liu1,2, Zheng-Qi Chang3, Zhe-Ming Bao2
1The First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan 250000, Shandong Province, China.
World Journal of Clinical Cases
|February 16, 2023
Summary
This case study highlights a rare instance of diffuse idiopathic skeletal hyperostosis (DISH) in a 24-year-old male, co-occurring with Scheuermann disease. The findings offer valuable insights for spine surgeons treating young adults with spinal stenosis.
Area of Science:
- Spinal Surgery
- Radiology
- Rheumatology
Background:
- Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by ligament and entheses calcification and ossification.
- DISH is typically observed in elderly males and is rare in younger individuals.
Observation:
- A 24-year-old male presented with low back pain and lower limb numbness, diagnosed with DISH, Scheuermann disease, and thoracic spinal stenosis.
- Pre-operative symptoms included hypoesthesia below the xiphoid process.
Findings:
- Surgical intervention (laminectomy, internal fixation) and conservative treatment (corticosteroids, neurotrophic drugs, hyperbaric oxygen, electric stimulation) were administered.
- Post-treatment, the patient's sensory level improved to the navel, with normal skin sensation upon follow-up, though lower limb muscle strength remained unchanged.
Implications:
- This case represents a rare co-occurrence of DISH and Scheuermann's disease in a young adult.
- This presentation serves as a crucial reference for spine surgeons managing DISH in younger populations.
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