Related Experiment Video
Updated: Jan 12, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
L1 Fracture Subluxation in Patient with Diffuse Idiopathic Skeletal Hyperostosis Diagnosed After Hip Fracture Nail: A
Kelvin Ng1, Lawrence Wengle1,2, Christian Veillette1,2
1Department of Orthopaedic Surgery, University of Toronto, Toronto, Canada.
Case:
An 86-year-old man underwent closed reduction and internal fixation of a comminuted intertrochanteric hip fracture with a cephalomedullary nail on a Hana table. Postoperatively, a displaced fracture subluxation of L1 was detected, resulting in complete loss of motor and sensory function below L1. Urgent posterior decompression and fusion from T10-L4 was performed. Diffuse idiopathic skeletal hyperostosis (DISH) was only diagnosed after the incident.
Conclusion:
A diagnosis of DISH, with increased risk of occult fracture and/or iatrogenic spine injury during hip fixation, may be unknown before surgery. Multiple fractures may prompt consideration of a trauma workup even in assumed low-energy injuries.
More Related Videos
12:25C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
