Diffuse idiopathic skeletal hyperostosis in elderly patients with chance fracture leading to late onset nerve palsy due to minor trauma : Report of two cases

The commonalities of our cases are followings : latter stage elderly, minor fall trauma, patients with diffuse idiopathic skeletal hyperostosis (DISH), and chance fracture with neurological deficits. DISH fractures predispose to late onset neurological deficits because diagnosis is likely to be inac...

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Bibliographic Details
Published inKANTO Journal of Japanese Association for Acute Medicine Vol. 41; no. 4; pp. 452 - 457
Main Authors Yokota, Miho, Ebihara, Takayuki, Taniguchi, Shinichi, Suzuki, Ryohei, Tamura, Hiroyuki, Amagasa, Shunsuke, Kashiura, Masahiro, Chijiwa, Tsuyoshi, Shimoyama, Akira, Moriya, Takashi
Format Journal Article
LanguageJapanese
Published Japanese Association for Acute Medicine of Kanto 28.12.2020
Subjects
DISH
lever arm effect
low energy trauma
vertebral fracture
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Summary:The commonalities of our cases are followings : latter stage elderly, minor fall trauma, patients with diffuse idiopathic skeletal hyperostosis (DISH), and chance fracture with neurological deficits. DISH fractures predispose to late onset neurological deficits because diagnosis is likely to be inaccurate and leading to pseudoarthrosis. In elderly traumatized patients with lower back pain, it is necessary to consider the possibility of burst and chance fracture even if minor trauma. Delayed diagnosis and prolonged waiting for surgery would be associated with late onset neurological deficits. The careful management is required for emergency physicians because similar cases will be increased in Japan.
ISSN:0287-301X
2434-2580
DOI:10.24697/jaamkanto.41.4_452