Cervical Spine Osteophyte: A Case Report of an Unusual Presentation

Cureus. 2023 Sep 6;15(9):e44762. doi: 10.7759/cureus.44762. eCollection 2023 Sep.

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH) is a condition that causes abnormal bone growth at the sites of ligament insertion, mainly in the spine. It is of unknown etiology and usually affects older males. It is often asymptomatic, but it can sometimes cause dysphagia if it affects the anterior cervical spine. We report the case of a 50-year-old male patient with DISH who presented with chronic dysphagia and was diagnosed with a large cervical osteophyte compressing the esophagus. The patient had a history of several comorbidities, including diabetes, hypertension, stroke, and gout. He underwent surgical removal of the osteophyte and recovered well. We discuss the clinical features, diagnosis, and treatment options for this rare complication of DISH.

Keywords: cervical ostephytes; diffuse idiopathic skeletal hyperostosis (dish); dysphagia; forestier disease; osteophyte; osteophytosis; spinal.

Publication types

  • Case Reports