Diffuse idiopathic skeletal hyperostosis

Case contributed by Dr Nick Tarasov

Presentation

Long-term low back pain

Patient Data

Age: 75 years
Gender: Female

L2 to L5 vertebral bone marrow edema associated with gross irregular areas of T1 and T2 hypointensity located at the anterior longitudinal ligament.

Severe degenerative changes more prominent at the L3 to L5 levels, where spondylodiscoarthrogenic canal stenosis grade 2 is present.

Slight anterior L4-L5 facet joint subluxation more prominent on the left causing L4 anterior spondylolisthesis.

Kissing spine appearance of the lumbar spinous processes.

Prominent anterior L2-L5 osteophytes fused by calcified anterior longitudinal ligament

Slight L4 anterior degenerative spondylolisthesis.

Kissing spinous processes.

Case Discussion

Abnormal lumbar spine appearances due to a combination of degenerative spondylosis, Baastrup syndrome, and diffuse idiopathic skeletal hyperostosis (Forestier disease).

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Case information

rID: 51988
Published: 22nd Dec 2018
Last edited: 14th Aug 2019
System: Spine
Inclusion in quiz mode: Included

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