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Characteristics of the Clinical Course and Importance of Preoperative Management of Spinal Fractures Associated with Diffuse Idiopathic Skeletal Hyperostosis (DISH) Akinori KOBAYAKAWA 1 , Yasutsugu YUKAWA 2 , Keigo ITO 2 , Masaaki MACHINO 2 , Fumihiko KATO 2 1Department of Orthopaedic Surgery, Toyota Memorial Hospital 2Department of Orthopaedic Surgery, Chubu-Rosai Hospital Keyword: びまん性特発性骨増殖症 , diffuse idiopathic skeletal hyperostosis , 脊椎骨折 , spinal fracture , 術前管理 , preoperative management pp.995-1000
Published Date 2014/11/25
DOI https://doi.org/10.11477/mf.1408200056
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 Background:The number of patients with diffuse idiopathic skeletal hyperostosis (DISH) who experience a spinal fracture has gradually been increasing along with the aging of the Japanese population.

 Purpose:The aim of this study was to investigate the characteristics of the clinical course and the importance of preoperative management of patients with a spinal fracture and DISH.

 Methods:Twenty-one patients (22 fractures) who underwent surgical treatment at our hospital were enrolled in this study. Their mechanisms of injury, clinical course, and surgical outcomes were investigated.

 Results:Many cases were injured by low energy forces, and most of the fractures were in the mid- to lower cervical spine or at the thoracolumbar junction. In seven cases there was neurological deterioration before surgery.

 Conclusions:Most of the spinal fractures that occurred in the DISH patients were 3-column injuries and unstable. Orthopaedic surgeons should be familiar with the surgical indications and difficulty of nonsurgical management in such cases.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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