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논문 기본 정보

자료유형
학술저널
저자정보
Hiromitsu Toyoda (Osaka City University Graduate School of Medicine) Hidetomi Terai (Osaka City University Graduate School of Medicine) Kentaro Yamada (Osaka City University Graduate School of Medicine) Akinobu Suzuki (Osaka City University Graduate School of Medicine) Sho Dohzono (Yodogawa Christian Hospital) Tomiya Matsumoto (Osaka Rosai Hospital) Hiroaki Nakamura (Osaka City University Graduate School of Medicine)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.11 No.1
발행연도
2017.1
수록면
63 - 70 (8page)

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Study Design: Retrospective cohort study. Purpose: The purpose of this study was to evaluate the prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in patients with spinal diseases determined by roentgen images of the whole spine. Overview of Literature: Although several studies have investigated the prevalence of DISH in healthy subjects, no detailed data have been reported on the prevalence of DISH in patients with degenerative spinal disorders. Methods: Standing whole-spine roentgen images of 345 consecutive patients who underwent surgery in our hospital were obtained. Patients aged <18 years or with congenital spinal disease, metastatic spinal tumors, or inflammatory spinal disease were excluded. In total, 281 patients were eligible for inclusion. The presence of DISH was assessed according to Resnick’s criteria and Mata’s scoring system. The prevalence, location, and numbers of fused vertebral bodies of DISH were recorded. Results: DISH was present in 25.6% of patients (72/281). The prevalence of DISH in the 41–49, 50–59, 60–69, 70–79, and ≥80 year age groups was 8.3% (2/24), 9.8% (5/51), 16.0% (12/75), 49.5% (48/97), and 33.3% (4/12), respectively; the prevalence increased with age. The average number of fused vertebral bodies was 7.5. More than 80% of DISH was located from T7 to T11, and more than 95% of DISH was located at T9/10. Patients with DISH were significantly older (71.1 years vs. 60.9 years, p <0.05), and men were more likely to have DISH than women (p <0.05). Conclusions: In patients with degenerative spinal diseases with DISH, fused vertebrae were found most frequently in the lower thoracic spine, and their prevalence increased with age. DISH may be an age-related skeletal disorder with a higher overall prevalence in patients with spinal disorders than that in healthy subjects.

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참고문헌 (30)

참고문헌 신청
Forestier J / 1950 / Rotes-Querol J. Senile ankylosing hyperostosis of the spine / Ann Rheum Dis 9:321~330 google schola Resnick D / 1975 / Diffuse idiopathic skeletal hyperostosis (DISH): Forestier’s disease with extraspinal manifestations / Radiology 115:513~524 google schola Fox TP / 2013 / Diffuse idiopathic skeletal hyperostosis: a rare cause of dysphagia and dysphonia / BMJ Case Rep 2013:bcr2013008 google schola Westerveld LA / 2009 / Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications / Eur Spine J 18:145~156 google schola Nascimento FA / 2014 / Diffuse idiopathic skeletal hyperostosis: a review / Surg Neurol Int 5(Suppl 3):S122~S125 google schola

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