{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:56:31Z","timestamp":1764161791868,"version":"3.46.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory systemic disease characterised by ossification of ligaments and entheses. Although it is usually asymptomatic, in its cervical localisation it can cause dysphagia secondary to oesophageal compression or functional limitation due to ankylosis. We present the case of a 58-year-old male with progressive dysphagia of three years' evolution, with an EAT-10 score of 34\/40. Surgical resection of the impressive osteophyte formation was performed by an anterior cervical spine approach and precision drilling. Within a few weeks, there was a reported progressive improvement and complete resolution of the symptoms. The pathophysiological mechanisms involved and current recommendations on surgical indications, prognosis and follow-up are discussed. Awareness of this therapeutic option is paramount in non-surgical specialties, and interdisciplinary discussion is recommended.<\/jats:p>","DOI":"10.1093\/omcr\/omaf218","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T11:45:44Z","timestamp":1758023144000},"source":"Crossref","is-referenced-by-count":0,"title":["Progressive dysphagia secondary to cervical osteophytosis due to diffuse idiopathic skeletal hyperostosis (DISH)"],"prefix":"10.1093","volume":"2025","author":[{"given":"Artem","family":"Kuptsov","sequence":"first","affiliation":[{"name":"Edinburgh Spinal Surgery Outcome Studies Group, Department of Neurosurgery, Division of Clinical Neurosciences, NHS Lothian, Edinburgh University Hospitals , Edinburgh , EH16 4TJ,","place":["United Kingdom"]},{"name":"Department of Neurosurgery, Hospital General Universitario de Alicante Dr. Balmis . Avda Pintor Baeza, 12. 03010 ( Alicante )","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inge J M H","family":"Caelers","sequence":"additional","affiliation":[{"name":"Edinburgh Spinal Surgery Outcome Studies Group, Department of Neurosurgery, Division of Clinical Neurosciences, NHS Lothian, Edinburgh University Hospitals , Edinburgh , EH16 4TJ,","place":["United Kingdom"]},{"name":"Department of Neurosurgery, Maastricht University Medical Center , Maastricht ,","place":["the Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2004-9448","authenticated-orcid":false,"given":"Andreas K","family":"Demetriades","sequence":"additional","affiliation":[{"name":"Edinburgh Spinal Surgery Outcome Studies Group, Department of Neurosurgery, Division of Clinical Neurosciences, NHS Lothian, Edinburgh University Hospitals , Edinburgh , EH16 4TJ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"2025112607521026400_ref1","doi-asserted-by":"publisher","first-page":"1044","DOI":"10.5435\/JAAOS-D-20-01344","article-title":"Diffuse idiopathic skeletal hyperostosis of the spine: pathophysiology, diagnosis, and management","volume":"29","author":"Le","year":"2021","journal-title":"J Am Acad Orthop Surg"},{"key":"2025112607521026400_ref2","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1148\/119.3.559","article-title":"Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH)","volume":"119","author":"Resnick","year":"1976","journal-title":"Radiology."},{"key":"2025112607521026400_ref3","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1016\/j.spinee.2022.03.002","article-title":"Diffuse idiopathic skeletal hyperostosis of the cervical spine causing dysphagia and airway obstruction: an updated systematic review","volume":"22","author":"Harlianto","year":"2022","journal-title":"Spine J"},{"key":"2025112607521026400_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-222512","article-title":"Dysphagia due to DISH-related anterior osteophytes: DISHphagia","volume":"2017","author":"Kaur","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025112607521026400_ref5","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1177\/2192568220967358","article-title":"Combined anterior osteophytectomy and cricopharyngeal myotomy for treatment of DISH-associated dysphagia","volume":"12","author":"Hines","year":"2022","journal-title":"Global Spine J"},{"key":"2025112607521026400_ref6","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1007\/s12603-023-1950-9","article-title":"History and science behind the eating assessment Tool-10 (eat-10): lessons learned","volume":"27","author":"Schindler","year":"2023","journal-title":"J Nutr Health 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