Bone-forming diathesis primarily affecting spine with ossification of spinal ligaments and entheses in peripheral skeleton
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
Diagnostic Criteria, Radiographic Only
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Kuperus JS et al: Diffuse idiopathic skeletal hyperostosis: etiology and clinical relevance. Best Pract Res Clin Rheumatol. 34(3):101527, 2020
Pini SF et al: Interobserver agreement using Schlapbach graded scale for diffuse idiopathic skeletal hyperostosis (DISH): can we reduce the cut-off point of vertebral affection? Clin Rheumatol. 38(4):1155-62, 2019
Shah NG et al: Injuries to the rigid spine: what the spine surgeon wants to know. Radiographics. 39(2):449-66, 2019
Hiyama A et al: Prevalence of diffuse idiopathic skeletal hyperostosis (DISH) assessed with whole-spine computed tomography in 1479 subjects. BMC Musculoskelet Disord. 19(1):178, 2018
Kim BS et al: Prevalence of diffuse idiopathic skeletal hyperostosis diagnosed by whole spine computed tomography: a preliminary study. Clin Orthop Surg. 10(1):41-6, 2018
Kuperus JS et al: Anterior longitudinal ligament in diffuse idiopathic skeletal hyperostosis: ossified or displaced? J Orthop Res. 36(9):2491-6, 2018
Kuperus JS et al: Classification criteria for diffuse idiopathic skeletal hyperostosis: a lack of consensus. Rheumatology (Oxford). 56(7):1123-34, 2017
Kuperus JS et al: Histological characteristics of diffuse idiopathic skeletal hyperostosis. J Orthop Res. 35(1):140-6, 2017
Leibushor N et al: CT abnormalities in the sacroiliac joints of patients with diffuse idiopathic skeletal hyperostosis. AJR Am J Roentgenol. 208(4):834-7, 2017
Mader R et al: Diffuse idiopathic skeletal hyperostosis (DISH): where we are now and where to go next. RMD Open. 3(1):e000472, 2017
Oudkerk SF et al: Diagnosis of diffuse idiopathic skeletal hyperostosis with chest computed tomography: inter-observer agreement. Eur Radiol. 27(1):188-94, 2017
Beyeler C et al: Diffuse idiopathic skeletal hyperostosis (DISH) of the elbow: a controlled radiological study. BMC Musculoskelet Disord. 16:119, 2015
Carmona R et al: MR imaging of the spine and sacroiliac joints for spondyloarthritis: influence on clinical diagnostic confidence and patient management. Radiology. 269(1):208-15, 2013
Campagna R et al: Fractures of the ankylosed spine: MDCT and MRI with emphasis on individual anatomic spinal structures. AJR Am J Roentgenol. 192(4):987-95, 2009
Taljanovic MS et al: Imaging characteristics of diffuse idiopathic skeletal hyperostosis with an emphasis on acute spinal fractures: review. AJR Am J Roentgenol. 193(3 Suppl):S10-9, Quiz S20-4, 2009
Westerveld LA et al: Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. Eur Spine J. 18(2):145-56, 2009
Gokce A et al: Diffuse idiopathic skeletal hyperostosis as a cause of acute respiratory distress in early postoperative period of total knee arthroplasty. Arch Orthop Trauma Surg. 127(7):553-5, 2007
Aydin E et al: Six cases of Forestier syndrome, a rare cause of dysphagia. Acta Otolaryngol. 126(7):775-8, 2006
Ghosh B et al: Diffuse interstitial skeletal hyperostosis (DISH) in type 2 diabetes. J Assoc Physicians India. 52:994-6, 2004
Mader R: Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum. 32(2):130-5, 2002
Ehara S et al: Cervical spine injury in the elderly: imaging features. Skeletal Radiol. 30(1):1-7, 2001
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Abbreviations
Diffuse idiopathic skeletal hyperostosis (DISH)
Synonyms
Forestier disease, ankylosing hyperostosis
Definitions
Bone-forming diathesis primarily affecting spine with ossification of spinal ligaments and entheses in peripheral skeleton
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
Diagnostic Criteria, Radiographic Only
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Kuperus JS et al: Diffuse idiopathic skeletal hyperostosis: etiology and clinical relevance. Best Pract Res Clin Rheumatol. 34(3):101527, 2020
Pini SF et al: Interobserver agreement using Schlapbach graded scale for diffuse idiopathic skeletal hyperostosis (DISH): can we reduce the cut-off point of vertebral affection? Clin Rheumatol. 38(4):1155-62, 2019
Shah NG et al: Injuries to the rigid spine: what the spine surgeon wants to know. Radiographics. 39(2):449-66, 2019
Hiyama A et al: Prevalence of diffuse idiopathic skeletal hyperostosis (DISH) assessed with whole-spine computed tomography in 1479 subjects. BMC Musculoskelet Disord. 19(1):178, 2018
Kim BS et al: Prevalence of diffuse idiopathic skeletal hyperostosis diagnosed by whole spine computed tomography: a preliminary study. Clin Orthop Surg. 10(1):41-6, 2018
Kuperus JS et al: Anterior longitudinal ligament in diffuse idiopathic skeletal hyperostosis: ossified or displaced? J Orthop Res. 36(9):2491-6, 2018
Kuperus JS et al: Classification criteria for diffuse idiopathic skeletal hyperostosis: a lack of consensus. Rheumatology (Oxford). 56(7):1123-34, 2017
Kuperus JS et al: Histological characteristics of diffuse idiopathic skeletal hyperostosis. J Orthop Res. 35(1):140-6, 2017
Leibushor N et al: CT abnormalities in the sacroiliac joints of patients with diffuse idiopathic skeletal hyperostosis. AJR Am J Roentgenol. 208(4):834-7, 2017
Mader R et al: Diffuse idiopathic skeletal hyperostosis (DISH): where we are now and where to go next. RMD Open. 3(1):e000472, 2017
Oudkerk SF et al: Diagnosis of diffuse idiopathic skeletal hyperostosis with chest computed tomography: inter-observer agreement. Eur Radiol. 27(1):188-94, 2017
Beyeler C et al: Diffuse idiopathic skeletal hyperostosis (DISH) of the elbow: a controlled radiological study. BMC Musculoskelet Disord. 16:119, 2015
Carmona R et al: MR imaging of the spine and sacroiliac joints for spondyloarthritis: influence on clinical diagnostic confidence and patient management. Radiology. 269(1):208-15, 2013
Campagna R et al: Fractures of the ankylosed spine: MDCT and MRI with emphasis on individual anatomic spinal structures. AJR Am J Roentgenol. 192(4):987-95, 2009
Taljanovic MS et al: Imaging characteristics of diffuse idiopathic skeletal hyperostosis with an emphasis on acute spinal fractures: review. AJR Am J Roentgenol. 193(3 Suppl):S10-9, Quiz S20-4, 2009
Westerveld LA et al: Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. Eur Spine J. 18(2):145-56, 2009
Gokce A et al: Diffuse idiopathic skeletal hyperostosis as a cause of acute respiratory distress in early postoperative period of total knee arthroplasty. Arch Orthop Trauma Surg. 127(7):553-5, 2007
Aydin E et al: Six cases of Forestier syndrome, a rare cause of dysphagia. Acta Otolaryngol. 126(7):775-8, 2006
Ghosh B et al: Diffuse interstitial skeletal hyperostosis (DISH) in type 2 diabetes. J Assoc Physicians India. 52:994-6, 2004
Mader R: Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum. 32(2):130-5, 2002
Ehara S et al: Cervical spine injury in the elderly: imaging features. Skeletal Radiol. 30(1):1-7, 2001
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