Diffuse posterior hyperostosis of the cervical spine with cord compression: A forestier (dish) variant

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      A patient presented with signs and symptoms of cervical spinal cord compression. Computed tomography (CT) scan showed diffuse idiopathic hyperostosis of the posterior vertebral border of C4, C5, C6, and C7 cervical vertebrae, with severe spinal stenosis at C5 and C6 level. Computed tomography scan is the single most useful instrument for demonstrating the extent of bony proliferation and severity of spinal stenosis.


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        • Forestier J.
        • Rotes-Querol J.
        Senile ankylosing hyperostosis of the spine.
        Ann Rheum Dis. 1950; 9: 321-330
        • Resnick D.
        • Shapiro R.F.
        • Wiesner K.B.
        • Niwayama G.
        • Utsinger P.D.
        • Shaul S.R.
        Diffuse idiopathic skeletal hyperostosis (DISH) (Ankylosing hyperostosis of Forestier and Rotes-Querol).
        Semin Arthritis Rheum. 1978; 7: 153-187
        • Aleghat J.
        • Hallet M.
        • Kido D.
        Spinal cord compression in diffuse idiopathic skeletal hyperostosis (DISH).
        Radiology. 1982; 142: 119-120
        • Resnick D.
        • Niwayama G.
        Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH).
        Radiology. 1976; 119: 559-568
        • Resnick D.
        • Shaul S.R.
        • Robins D.M.
        Diffuse idiopathic skeletal hyperostosis (DISH) Forestier's disease with extraspinal manifestations.
        Radiology. 1975; 115: 513-524
        • Meeks L.W.
        • Renshaw T.S.
        Vertebral osteophytosis and dysphagia. Two case reports of the syndrome recently termed ankylosing hyperostosis.
        J Bone Joint Surg (AM). 1973; 55: 197-201
        • Arlet J.
        • Pudol M.
        • Buc A.
        • et al.
        Role del'hyperostose vertebrae dans les myelopathies cervicales.
        Rev Rheum. 1976; 43: 167-175
        • Becker D.H.
        • Conely F.K.
        • Anderson M.E.
        Quadriplegia associated with narrow cervical canal, ligamentous calcification and ankylosing hyperostosis.
        Surg Neurol. 1979; 11: 17-19