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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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REFERENCES
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 | Fig. 1.Preoperative cervical spine lateral radiograph. Note anteriorly displacing laryngeal air shadow with large osteophyte at C3-4. |
 | Fig. 2.A anteroposterior view of thoracic spine, demonstrate flowing hyperostosis at right side. |
 | Fig. 3.Preoperative cervical spine CT demonstrating compression of esophagus by anterior bony spur. |
 | Fig. 4.Preoperative esophagogram. Note extrinsic compression of esophageal posterior wall by protruding bony spur of the anterior aspect of C3-4. |
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