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Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 69-74

A rare case of diffuse idiopathic skeletal hyperostosis with stable burst fracture of D12 vertebra presenting with low back pain: A case report

1 Fellow, Daradia Pain Clinic, Kolkata, West Bengal, India
2 Director, Daradia Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Amit A Sequeira
Fellow, Daradia Pain Clinic, Kolkata, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.5005/jp-journals-10046-0109

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Diffuse idiopathic skeletal hyperostosis (DISH) is a relatively poorly studied disease in the Indian population. The characteristic radiologic findings of this disorder are the presence of “flowing ossification” especially along the anterolateral borders of the vertebral bodies. Trivial trauma, especially involving hyperextension of the spine, can lead to vertebral fractures, sometimes with serious neurological deficits. We present a case of DISH involving fracture of D12 and L1 vertebrae, following a minor fall at home, which was managed conservatively due to multiple risk factors for surgery. The patient presented to our pain clinic with signs and symptoms suggestive of the lower lumbar facet and bilateral sacroiliac joint arthropathy, without any features of D12, L1 fracture or any neurological deficits. We postulate that the lower lumbar and SI pathology could be a sequel of the orthotic support used in the conservative management of DISH in this patient or a natural progression of the disease.

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