Improvement of Swallowing Function After Surgical Treatment of Diffuse Idiopathic Skeletal Hyperostosis: Our Experience

Mattioli, Francesco; Ghirelli, Michael; Trebbi, Marco; Silvestri, Martina; Presutti, Livio; Fermi, Matteo

doi:10.1016/j.wneu.2019.08.124

Cited by 17 publications

(42 citation statements)

References 22 publications

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“…Furthermore, identification and ligation of the external carotid artery branches could be performed à la demande to extend the dissection even more cranially in order to reach the upmost tract of the cervical spine (C1-C2) by an upper prevascular retrovisceral approach ( Tab. I ) 18 .…”

Section: Discussionmentioning

confidence: 99%

Anatomic and radiologic relationships of neck structures to cervical spine: implications for anterior surgical approaches

Alicandri‐Ciufelli

Fermi

Molinari

et al. 2020

Acta Otorhinolaryngol Ital

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SUMMARY The position of the pharyngolaryngeal framework is very important in choosing the best surgical approach for cervical spine disease. The aim of the present paper is to investigate the position of the hyoid bone and cricoid cartilage in relation to the cervical spine. Moreover, the surgical implications for anterior transcervical approaches to the upper spine and the prevertebral space are discussed. To minimise complication rates and increase surgical effectiveness, the location and extent of the cervical spine disease should be evaluated in the context of the patient’s specific anatomy. A retrospective analysis of 100 cervical spine MRIs was conducted. Patients with diseases that could alter anatomic relationships of cervical structures were excluded. The mid-sagittal view of the hyoid and the inferior margin of the cricoid cartilage were projected perpendicularly to the anterior surface of the cervical vertebrae. The distance between these two landmarks was measured on the same view. The distribution of hyoid projections ranged between C2-C3 and C4-C5 intervertebral space, while the cricoid cartilage ranged between C4-C5 and C7-T1 intervertebral spaces. The mean distance between these two landmarks was 49.1 ± 7.7 mm, with statistically significant differences between males and females. The position of the cricoid cartilage significantly influenced the length of the pharyngolaryngeal framework, while the position of hyoid did not. A wide range of variability in the position of the hyoid bone and the cricoid cartilage in relation to cervical levels exists. This implies that an a priori association of a cervical level to neck structures at risk might be inaccurate. The use of these easily identifiable landmarks on pre-operative imaging may help to guide the choice among different anterior surgical approaches to cervical spine and reduce the risk of surgical complications.

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Section: Discussionmentioning

confidence: 99%

Anatomic and radiologic relationships of neck structures to cervical spine: implications for anterior surgical approaches

Alicandri‐Ciufelli

Fermi

Molinari

et al. 2020

Acta Otorhinolaryngol Ital

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“…Approximately 10% of patients experienced vocal cord paralysis, stroke, Horner syndrome, infections, esophageal leakage, and other serious complications. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 9 , 10 ] However, since patients with severe or very severe dysphagia showed significantly smaller improvement, some scholars suggested that early intervention guarantees a higher success rate. [ 11 – 13 ]…”

Section: Discussionmentioning

confidence: 99%

Anterior cervical surgery to treat diffuse idiopathic skeletal hypertrophic combined with cervical disc herniation

Gao¹,

Cao²,

Liu³

et al. 2021

Medicine

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Rationale: Diffuse idiopathic skeletal hyperostosis (DISH) is a skeletal disease characterized by calcification of anterolateral ligaments of the spine and the rest of the body. DISH combined with disc herniation induces complex symptoms and is more difficult to treat. Here, we describe a complicated case of a patient diagnosed with DISH as well as cervical disc herniation that was successfully treated using anterior cervical surgery. Patients concern: A 69-year-old Asian male experienced dysphagia and weakness in his left limbs. He also experienced a stiff neck and right slant over a 6-month period. Diagnosis: An X-ray revealed calcification of the C4-7 vertebral front edge and a narrowed intervertebral space between C5/6. Coronal and sagittal computerized tomography (CT) and magnetic resonance imaging (MRI) both showed compression of the spinal cord at the cervical 5/6. Esophagography revealed that osteophytes in the anterior margin of vertebral body (C4-C7) oppressed the esophagus. Interventions: An operation focused on anterior cervical C5/6 disc fusion and anterior vertebral C4-7 osteophyte removal was performed. Outcomes: After the operation, X-ray and CT showed that most osteophytes were removed and spinal cord compression was relieved. One day following the operation, both dysphagia and numbness in limbs were improved. Strong recovery was observed at the three-month follow-up exam. Lessons: This complex DISH combined with disc herniation case is rarely observed in patients. Anterior cervical disc fusion and anterior vertebral osteophyte removal were effective treatment measures. This case study provides insight into treating cases presented with cervical spine complications associated with DISH combined with other ailments.

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“…las complicaciones mayores son infrecuentes (menores al 1%) e incluyen empeoramiento de la disfagia o disfonía, requerimiento de traqueotomía en el postoperatorio, lesión nerviosa, accidente cerebrovascular y muerte 5,7,10 . Se ha descrito la recurrencia de nuevos osteofitos, sin embargo, la mayoría de pacientes permanecen asintomáticos 7,10,15 . Nuestro paciente presentó mejoría de la disfagia con tratamiento conservador, la disfonía persistió, pero ante la ausencia de compromiso de la vía aérea se consideró continuar manejo sintomático.…”

Section: Discussionunclassified

Hiperostosis esquelética difusa idiopática, una causa infrecuente de disfagia y disfonía

Arango

2020

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Improvement of Swallowing Function After Surgical Treatment of Diffuse Idiopathic Skeletal Hyperostosis: Our Experience

Cited by 17 publications

References 22 publications

Anatomic and radiologic relationships of neck structures to cervical spine: implications for anterior surgical approaches

Anatomic and radiologic relationships of neck structures to cervical spine: implications for anterior surgical approaches

Anterior cervical surgery to treat diffuse idiopathic skeletal hypertrophic combined with cervical disc herniation

Hiperostosis esquelética difusa idiopática, una causa infrecuente de disfagia y disfonía

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