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Abstract
Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier’s disease and ankylosing hyperostosis, is a relatively common disease that predominantly affects middle- aged and elderly men. It is often asymptomatic; especially dysphagia is a rather frequent and prominent symptom, particularly when the cervical spine is involved with the hyperostotic state. A case of DISH, with dysphagia, was experienced, which was treated by excision of the bony spur, with an anterior approach.
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Fig. 1.
Preoperative cervical spine lateral radiograph. Note anteriorly displacing laryngeal air shadow with large osteophyte at C3-4.
Fig. 3.
Preoperative cervical spine CT demonstrating compression of esophagus by anterior bony spur.
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