{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T22:34:15Z","timestamp":1779921255382,"version":"3.53.1"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nDysphagia due to diffuse idiopathic skeletal hyperostosis (DISH)-related anterior cervical osteophytes is not uncommon. However, this rarely leads to dysphonia and\/or dysphagia along with life- threatening airway obstruction requiring emergency tracheotomy.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 56-year-old male presented with progressive dysphagia and dysphonia secondary to DISH-related anterior osteophytes at the C3\u2013C4 and C4\u2013C5 levels. The barium swallow, X-ray, magnetic resonance imaging, and computed tomography scans confirmed the presence of DISH. Utilizing an anterior cervical approach, a large beak-like osteophyte was successfully removed, while preserving the anterior annulus. After clinic-radiological improvement, the patient was discharged with a soft cervical collar and nonsteroidal anti-inflammatory drug (NSAID).<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nLarge anterior osteophytes in Forestier disease\/DISH may cause dysphagia and dysphonia. Direct anterior resection of these lesions yields excellent results as long as other etiologies for such symptoms have been ruled out.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_61_2020","type":"journal-article","created":{"date-parts":[[2020,4,18]],"date-time":"2020-04-18T07:51:43Z","timestamp":1587196303000},"page":"69","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Progressive dysphagia and dysphonia secondary to DISH-related anterior cervical osteophytes: A case report"],"prefix":"10.25259","volume":"11","author":[{"given":"Manoj","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prem Bahadur","family":"Shahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shankar","family":"Acharya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. L.","family":"Kalra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. S.","family":"Chahal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,4,18]]},"reference":[{"key":"10.25259\/SNI_61_2020\/ref-1","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1136\/ard.9.4.321","article-title":"Senile ankylosing hyperostosis of the spine","volume":"9","author":"Forestier","year":"1950","journal-title":"Ann Rheum Dis"},{"key":"10.25259\/SNI_61_2020\/ref-2","doi-asserted-by":"crossref","first-page":"12","DOI":"10.21129\/nerve.2018.4.1.12","article-title":"Extensive heterotopic ossification following anterior cervical fusion in a patient with diffuse idiopathic skeletal hyperostosis","volume":"4","author":"Lee","year":"2018","journal-title":"Nerve"},{"key":"10.25259\/SNI_61_2020\/ref-3","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s00586-014-3507-4","article-title":"Results after the surgical treatment of anterior cervical hyperostosis causing dysphagia","volume":"24","author":"Nicolas","year":"2015","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_61_2020\/ref-4","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3389\/fsurg.2018.00033","article-title":"Cervical hyperostosis leading to dyspnea, aspiration and dysphagia: Strategies to improve patient management","volume":"5","author":"Psychogios","year":"2018","journal-title":"Front Surg"},{"key":"10.25259\/SNI_61_2020\/ref-5","doi-asserted-by":"crossref","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":"10.25259\/SNI_61_2020\/ref-6","doi-asserted-by":"crossref","first-page":"2309499019837424","DOI":"10.1177\/2309499019837424","article-title":"Surgical treatment of anterior cervical osteophytes causing dysphagia","volume":"27","author":"Ruetten","year":"2019","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"10.25259\/SNI_61_2020\/ref-7","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.inat.2019.01.020","article-title":"Dysphagia, dysphonia and dyspnoe caused by ostrich beak-like anterior C1-C2 cervical osteophyte","volume":"16","author":"Sardana","year":"2019","journal-title":"Interdisciplinary Neurosurg"},{"key":"10.25259\/SNI_61_2020\/ref-8","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1177\/230949900401200110","article-title":"Effects of ethane-1-hydroxy-1,1-diphosphonate on ossification of the posterior longitudinal ligament in Zucker fatty rats","volume":"12","author":"Yamamoto","year":"2004","journal-title":"J Orthop Surg (Hong Kong)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/progressive-dysphagia-and-dysphonia-secondary-to-dish-related-anterior-cervical-osteophytes-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/progressive-dysphagia-and-dysphonia-secondary-to-dish-related-anterior-cervical-osteophytes-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,18]],"date-time":"2020-04-18T07:51:48Z","timestamp":1587196308000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/progressive-dysphagia-and-dysphonia-secondary-to-dish-related-anterior-cervical-osteophytes-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,18]]},"references-count":8,"alternative-id":["10.25259\/SNI_61_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_61_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,18]]},"article-number":"69"}}