{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:58:29Z","timestamp":1777726709467,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the Liaoning Provincial Department of Education's Basic Research Program for Colleges and Universities","award":["LJ232411258026"],"award-info":[{"award-number":["LJ232411258026"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>This report highlights an unusual case of a woman in her 70s who presented with diffuse idiopathic skeletal hyperostosis and an initial symptom of spinal cord compression and associated spinal degeneration. She presented with progressive thoracolumbar pain, bilateral lower limb weakness, and sensory deficits. Imaging showed continuous osteophytes in the anterior and lateral spine, multiple levels of intervertebral space narrowing, marked ligament ossification at T10\/11, and severe spinal stenosis. Diffuse idiopathic skeletal hyperostosis was diagnosed and spinal cord compression was significantly reduced after laminectomy. Although diffuse idiopathic skeletal hyperostosis is relatively common in elderly patients, cases of spinal cord compression are still rare, and the combination of intervertebral space stenosis, and ossification of the ligamentum flavum may be misdiagnosed as degenerative spondylopathy. This case suggests the possibility of intervertebral stenosis and ossification of the thoracic ligamentum flavum coexisting with diffuse idiopathic skeletal hyperostosis, highlighting the importance of diagnostic imaging in the early stage of patient management.<\/jats:p>","DOI":"10.1177\/03000605251342673","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T02:48:31Z","timestamp":1748832511000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Diffuse idiopathic skeletal hyperostosis presenting as spinal cord compression combined with intervertebral space narrowing: A case report"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5008-6306","authenticated-orcid":false,"given":"Zhang","family":"Jiaqi","sequence":"first","affiliation":[{"name":"Dalian University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Lichen","sequence":"additional","affiliation":[{"name":"Xinhua Hospital Affiliated with Dalian University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xia","family":"Dongxue","sequence":"additional","affiliation":[{"name":"Xinhua Hospital Affiliated with Dalian University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tang","family":"Wei","sequence":"additional","affiliation":[{"name":"Xinhua Hospital Affiliated with Dalian University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wang","family":"Wei","sequence":"additional","affiliation":[{"name":"Medical College of Dalian University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.9.4.321"},{"key":"e_1_3_8_3_2","volume-title":"Lumbar spondylolysis and spondylolisthesis","author":"Shamrock AG","year":"2023","unstructured":"Shamrock AG, Donnally Iii CJ, Varacallo MA. Lumbar spondylolysis and spondylolisthesis. Treasure Island (FL): StatPearls Publishing, 2023."},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/key211"},{"key":"e_1_3_8_5_2","first-page":"148","article-title":"Spinal cord and cauda equina compression in \u2018DISH'","volume":"49","author":"Sharma RR","year":"2001","unstructured":"Sharma RR, Mahapatra A, Pawar SJ, et\u00a0al. Spinal cord and cauda equina compression in \u2018DISH'. Neurol India 2001; 49: 148\u2013152.","journal-title":"Neurol India"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2016.09.003"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-201554"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/21925682221136844"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuchi.2022.08.002"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605251342673","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605251342673","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605251342673","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:47:35Z","timestamp":1777459655000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605251342673"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1177\/03000605251342673"],"URL":"https:\/\/doi.org\/10.1177\/03000605251342673","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"article-number":"03000605251342673"}}