Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study

Abstract Background Diffuse idiopathic skeletal hyperostosis (DISH) is a structural abnormality of the thoracic spine that is known to impair posture. However, the relationship between DISH and sagittal balance in the whole spine is unclear. The aims of this study were to investigate the prevalence...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Motoyoshi Takayuki, Hirai Takashi, Yoshii Toshitaka, Inose Hiroyuki, Matsukura Yu, Egawa Satoru, Kobayashi Yutaka, Utagawa Kurando, Hashimoto Jun, Kawabata Atsuyuki, Takahashi Takuya, Tanaka Tomoyuki, Okawa Atsushi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Diffuse idiopathic skeletal hyperostosis Sagittal alignment Ossification of the posterior longitudinal ligament Spondylosis Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/e3f83614ff8b4ad18f61b3fab55f1548
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e3f83614ff8b4ad18f61b3fab55f1548
record_format	dspace
spelling	oai:doaj.org-article:e3f83614ff8b4ad18f61b3fab55f15482021-11-21T12:27:42ZAssociation between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study10.1186/s12891-021-04851-z1471-2474https://doaj.org/article/e3f83614ff8b4ad18f61b3fab55f15482021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04851-zhttps://doaj.org/toc/1471-2474Abstract Background Diffuse idiopathic skeletal hyperostosis (DISH) is a structural abnormality of the thoracic spine that is known to impair posture. However, the relationship between DISH and sagittal balance in the whole spine is unclear. The aims of this study were to investigate the prevalence of DISH in patients with cervical myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) or cervical spondylosis and to compare sagittal alignment of the spine between patients with and without DISH. Methods A total of 103 consecutive patients with a diagnosis of cervical myelopathy due to cervical OPLL or spondylosis were retrospectively enrolled in this single-center study. DISH was defined as an ossified lesion that was seen to be completely bridging at least four contiguous adjacent vertebral bodies in the thoracic spine on computed tomography scans. Cervical and spinopelvic sagittal parameters were measured in whole spine radiographs. Results The study population included 28 cases with DISH [DISH (+) group] and 75 without DISH [DISH (−) group]. OPLL was more prevalent in the DISH (+) group than in the DISH (−) group; however, there were no significant differences in other clinical findings. Propensity score matching produced 26 pairs. C7 slope, C2-7 sagittal vertical axis (C-SVA), whole thoracic kyphotic angles, upper thoracic kyphosis, and T5-T12 thoracic kyphosis values were significant higher in the DISH (+) group than in the DISH (−) group. There was no significant between-group difference in the other sagittal spinopelvic parameters. Conclusions This study is the first to compare sagittal alignment in patients with cervical myelopathy according to whether or not they have DISH. Patients with DISH are more likely to have excessive kyphosis in the thoracic spine, a high C7 slope, and a high C2-7 SVA.Motoyoshi TakayukiHirai TakashiYoshii ToshitakaInose HiroyukiMatsukura YuEgawa SatoruKobayashi YutakaUtagawa KurandoHashimoto JunKawabata AtsuyukiTakahashi TakuyaTanaka TomoyukiOkawa AtsushiBMCarticleDiffuse idiopathic skeletal hyperostosisSagittal alignmentOssification of the posterior longitudinal ligamentSpondylosisDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diffuse idiopathic skeletal hyperostosis Sagittal alignment Ossification of the posterior longitudinal ligament Spondylosis Diseases of the musculoskeletal system RC925-935
spellingShingle	Diffuse idiopathic skeletal hyperostosis Sagittal alignment Ossification of the posterior longitudinal ligament Spondylosis Diseases of the musculoskeletal system RC925-935 Motoyoshi Takayuki Hirai Takashi Yoshii Toshitaka Inose Hiroyuki Matsukura Yu Egawa Satoru Kobayashi Yutaka Utagawa Kurando Hashimoto Jun Kawabata Atsuyuki Takahashi Takuya Tanaka Tomoyuki Okawa Atsushi Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study
description	Abstract Background Diffuse idiopathic skeletal hyperostosis (DISH) is a structural abnormality of the thoracic spine that is known to impair posture. However, the relationship between DISH and sagittal balance in the whole spine is unclear. The aims of this study were to investigate the prevalence of DISH in patients with cervical myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) or cervical spondylosis and to compare sagittal alignment of the spine between patients with and without DISH. Methods A total of 103 consecutive patients with a diagnosis of cervical myelopathy due to cervical OPLL or spondylosis were retrospectively enrolled in this single-center study. DISH was defined as an ossified lesion that was seen to be completely bridging at least four contiguous adjacent vertebral bodies in the thoracic spine on computed tomography scans. Cervical and spinopelvic sagittal parameters were measured in whole spine radiographs. Results The study population included 28 cases with DISH [DISH (+) group] and 75 without DISH [DISH (−) group]. OPLL was more prevalent in the DISH (+) group than in the DISH (−) group; however, there were no significant differences in other clinical findings. Propensity score matching produced 26 pairs. C7 slope, C2-7 sagittal vertical axis (C-SVA), whole thoracic kyphotic angles, upper thoracic kyphosis, and T5-T12 thoracic kyphosis values were significant higher in the DISH (+) group than in the DISH (−) group. There was no significant between-group difference in the other sagittal spinopelvic parameters. Conclusions This study is the first to compare sagittal alignment in patients with cervical myelopathy according to whether or not they have DISH. Patients with DISH are more likely to have excessive kyphosis in the thoracic spine, a high C7 slope, and a high C2-7 SVA.
format	article
author	Motoyoshi Takayuki Hirai Takashi Yoshii Toshitaka Inose Hiroyuki Matsukura Yu Egawa Satoru Kobayashi Yutaka Utagawa Kurando Hashimoto Jun Kawabata Atsuyuki Takahashi Takuya Tanaka Tomoyuki Okawa Atsushi
author_facet	Motoyoshi Takayuki Hirai Takashi Yoshii Toshitaka Inose Hiroyuki Matsukura Yu Egawa Satoru Kobayashi Yutaka Utagawa Kurando Hashimoto Jun Kawabata Atsuyuki Takahashi Takuya Tanaka Tomoyuki Okawa Atsushi
author_sort	Motoyoshi Takayuki
title	Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study
title_short	Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study
title_full	Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study
title_fullStr	Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study
title_full_unstemmed	Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study
title_sort	association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e3f83614ff8b4ad18f61b3fab55f1548
work_keys_str_mv	AT motoyoshitakayuki associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT hiraitakashi associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT yoshiitoshitaka associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT inosehiroyuki associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT matsukurayu associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT egawasatoru associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT kobayashiyutaka associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT utagawakurando associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT hashimotojun associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT kawabataatsuyuki associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT takahashitakuya associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT tanakatomoyuki associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy AT okawaatsushi associationbetweendiffuseidiopathicskeletalhyperostosisandthoracickyphosisinpatientswithcervicalmyelopathyaretrospectiveobservationalstudy
_version_	1718419037561552896

Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study

Ejemplares similares