{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:51:13Z","timestamp":1787755873387,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>An 86-year-old man underwent closed reduction and internal fixation of a comminuted intertrochanteric hip fracture with a cephalomedullary nail on a Hana table. Postoperatively, a displaced fracture subluxation of L1 was detected, resulting in complete loss of motor and sensory function below L1. Urgent posterior decompression and fusion from T10-L4 was performed. Diffuse idiopathic skeletal hyperostosis (DISH) was only diagnosed after the incident.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A diagnosis of DISH, with increased risk of occult fracture and\/or iatrogenic spine injury during hip fixation, may be unknown before surgery. Multiple fractures may prompt consideration of a trauma workup even in assumed low-energy injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00344","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T18:00:26Z","timestamp":1761933626000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["L1 Fracture Subluxation in Patient with Diffuse Idiopathic Skeletal Hyperostosis Diagnosed After Hip Fracture Nail"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2939-8062","authenticated-orcid":false,"given":"Kelvin","family":"Ng","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toronto, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6912-8673","authenticated-orcid":false,"given":"Lawrence","family":"Wengle","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toronto, Toronto, Canada"},{"name":"Department of Orthopaedic Surgery, University Health Network, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7124-6719","authenticated-orcid":false,"given":"Christian","family":"Veillette","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toronto, Toronto, Canada"},{"name":"Department of Orthopaedic Surgery, University Health Network, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Leroux","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Toronto, Toronto, 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