J Korean Soc Spine Surg.  2003 Dec;10(4):335-339.

Dysphagia Due to Diffuse Idiopathic Skeletal Hyperostosis of The Cervical Spine: A Case Report

  • 1Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea. ywkimmd@yahoo.com


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.


Cervical spine; Hyperostosis; Dysphagia

MeSH Terms

Deglutition Disorders*
Hyperostosis, Diffuse Idiopathic Skeletal*


  • 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.

  • Fig. 5. Postoperative cervical spine lateral radiograph. Severe bony spur was removed from C3-4.

  • Fig. 6. Postoperative esophagogram. Pooling of barium column is not seen, and some barium is able to empty into esophagus


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