Kyphotic Deformity after Spinal Fusion in a Patient with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report.
10.4184/jkss.2017.24.2.103
- Author:
Jaedong KIM
1
;
Jaewon LEE
;
Ye Soo PARK
Author Information
1. Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea. hyparkys@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Diffuse idiopathic skeletal hyperostosis (DISH);
Kyphotic deformity
- MeSH:
Congenital Abnormalities*;
Diagnosis;
Diagnosis, Differential;
Follow-Up Studies;
Humans;
Hyperostosis, Diffuse Idiopathic Skeletal*;
Kyphosis;
Male;
Middle Aged;
Osteotomy;
Rheumatic Diseases;
Spinal Fusion*;
Spondylitis, Ankylosing
- From:Journal of Korean Society of Spine Surgery
2017;24(2):103-108
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Case report. OBJECTIVES: To report a case of progressive kyphotic deformity after spinal fusion in a patient with diffuse idiopathic skeletal hyperostosis (DISH). SUMMARY OF LITERATURE REVIEW: DISH is characterized by spinal and peripheral enthesopathy, and is a completely different disease from ankylosing spondylitis (AS). Though DISH can be associated with thoracic kyphosis, no reports have described a progressive thoracolumbar kyphotic deformity after spinal fusion surgery in a DISH patient. MATERIALS AND METHODS: A 47-year-old male presented with pain in the thoracolumbar region. After excluding the possibility of AS and confirming the diagnosis of DISH, we performed spinal fusion for the treatment of a T11-T12 flexion-distraction injury. The kyphotic deformity was found to be aggravated after the first operation, and we then performed corrective osteotomy and additional spinal fusion. Results: The kyphotic deformity of the patient was corrected after the second operation. RESULTS: The kyphotic deformity of the patient was corrected after the second operation. CONCLUSIONS: In DISH patients in whom AS must be excluded in the differential diagnosis, a kyphotic deformity can become aggravated despite spinal fusion surgery, so regular and continuous follow-up is required.
