{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T06:14:55Z","timestamp":1783577695505,"version":"3.55.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory enthesopathic disorder characterised by flowing ossification along the spine. Cervical involvement may compress the aerodigestive tract, causing dysphagia, aspiration risk, and malnutrition.\n\nCase Report: An 82-year-old male presented with 9 months of progressive dysphagia and odynophagia, eventually intolerant even of liquids, with ~10 kg weight loss. Radiographs demonstrated flowing anterior ossification from C2 to C7; a barium swallow confirmed bolus hold-up at C5\u2013C6; computed tomography (CT) revealed bulky ventral osteophytes; and magnetic resonance imaging (MRI) excluded myelopathy. Following failed conservative management, anterior cervical osteophytectomy (C3\u2013C7) was performed. Objective outcomes measured pre-operative, at 1 month post-operative, and at 2-year follow-up improved from Functional Oral Intake Scale 2 \u2192 6 \u2192 7, Eating Assessment Tool-10 32 \u2192 8 \u2192 2, M.D. Anderson Dysphagia Inventory global 48 \u2192 86, and Prevertebral Soft Tissue 2.6 mm \u2192 5.1 mm \u2192 3.9 mm, with full dietary normalisation and no recurrence at 2-year follow-up.\n\nDiscussion: The diagnostic pathway (radiographs \u2192 barium swallow \u2192 CT \u00b1 MRI) aligns with commonly recommended approaches for evaluating mechanical dysphagia. Surgical osteophytectomy is highly effective, with ~95% improvement and ~4% symptomatic recurrence reported in systematic reviews.\n\nConclusion: Timely recognition and osteophytectomy for severe cervical DISH can restore complete functional swallowing, objectively verified across validated outcome measures, with durable remission at 2 years.\n\nKeywords: Diffuse idiopathic skeletal hyperostosis, dysphagia, cervical osteophyte, osteophytectomy, FOIS, EAT-10, MDADI, PVST.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i07.7580","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:25:47Z","timestamp":1783574747000},"page":"41-45","source":"Crossref","is-referenced-by-count":0,"title":["Severe Aerodigestive Compromise Caused by Cervical Diffuse Idiopathic Skeletal Hyperostosis: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"B M Santhan Kumar","family":"Reddy","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Gavi","family":"Krishna","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Mahesh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T V","family":"Ravikumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ramaiah Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:25:48Z","timestamp":1783574748000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/07\/severe-aerodigestive-compromise-caused-by-cervical-diffuse-idiopathic-skeletal-hyperostosis-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i07.7580","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}