Features of the neurological clinic, diagnosis and results of surgical treatment of ossifying ligamentosis of the cervical spine (Forestier's disease)
Year: 2022, volume 18 Issue: №1 Pages: 102-107
Heading: Тhematic supplement Article type: Original article
Authors: Goncharov M.Yu., Masyutina D.D., Biryukov P.I.
Organization: Ural State Medical University, Sverdlovsk Regional Clinical Hospital № 1
Heading: Тhematic supplement Article type: Original article
Authors: Goncharov M.Yu., Masyutina D.D., Biryukov P.I.
Organization: Ural State Medical University, Sverdlovsk Regional Clinical Hospital № 1
Summary:
Forestier's disease is a rare degenerative-dystrophic disease of the spine and surrounding prevertebral tissues, manifested by secondary dysphagia against the background of significant ossification of the anterior longitudinal ligament in the cervical spine. Objective: to analyze the clinical course of Forestier's disease, diagnostic errors and the results of surgical treatment in order to improve patient outcomes. Material and methods. From 2010 to 2020, 5 patients with a verified diagnosis of Forestier's disease were treated, who underwent surgical intervention in the scope of ventral osteophytectomy Previously, patients were examined to exclude other causes of dysphagia. Results. All patients (100%) had swallowing disorders, movement restriction, and cervical pain syndrome. The average duration of swallowing disorders was 2.8±0.7 years. In the postoperative period, swallowing disorder was resolved in all patients, postoperative complications and recurrence of dysphagia were not observed. Conclusion. In a number of clinical cases, the diagnosis is delayed due to difficulties in diagnosing dysphagia and clinical interpretation of symptoms. In clinical and instrumental diagnostics, radiography of the cervical spine and a contrast study of the esophagus with barium play a leading role. Surgical correction by ventral osteophytectomy is an effective, low-traumatic and reliable method of radical treatment.
Bibliography:
1. Bunchuk NV. Rheumatic diseases of the elderly (Selected). Moscow: MEDpress-inform, 2010; 270 p.
2. Goncharov MYu, Prokopovich VS. Forestier disease as a cause of secondary dysphagia in neurological practice. Ural Medical Journal 2017; 10 (154): 19-21.
3. Starkova AS, Erdes ShF. Difficulties in the diagnosis of idiopathic skeletal hyperostosis (Forestier disease). Rheumatology Science and Practice 2016; 54 (suppl. 1): 80-2.
4. Zarate-Kalfopulos В, Jerez-Saldana О, Romero-Vargas S, et al. Forestier disease. Case report and literature review. Cir Cir 2012; 80 (5): 451-4.
5. Resnick D, Niwayama G. Diagnosis of bone and joint disorders. Philadelphia; L: W. B. Saunders, 1981; 1260 p.
6. Westerveld LA, Verlaan JJ, Oner FC. Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. Eur Spine J 2009; 18 (2): 145-56.
7. Loginov NV. Diffuse idiopathic skeletal hyperostosis: diagnostic difficulties in a patient with dysphagia and dyspnea. I. P. Pavlov Russian Medical Biological Herald 2018; 26 (4): 528-32.
8. Bashkova IB, Madyanov IV Ankylosing spondylitis: diagnostic aspects and the importance of non-steroidal anti-inflammatory drugs in its treatment (to help a general practitioner). Russian Medical Journal 2016; 24 (2): 101-8.
9. Bunchuk NV, Agababov SF. Diffuse idiopathic skeletal hyperostosis. Rheumatology 1986; (3): 44.
10. Kadyrova LR, Bashkova IB, Kiseleva IN, et al. Patient with back pain: what is hidden under the diagnosis of osteochondrosis. Russian Medical Journal 2016; (14): 886-93.
11. Nasonov EL, Yakhno NN, Karateev AE, et al. General principles for the treatment of musculoskeletal pain: interdisciplinary consensus. Rheumatology Science and Practice 2016; 54(3): 247-65.
12. KryukovAl, GehtAB, Romanenko SG, etal. Paresthesia of the upper respiratory tract. Bulletin of Otorhinolaryngology 2014; (6): 76-80.
13. Holgate RL, Steyn M. Diffuse idiopathic skeletal hyperostosis: diagnostic, clinical, and paleopathological considerations. Clin Anat 2016; 29 (7): 870-7. DOI: 10.1002/ca. 22716.
14. Resnick D, Saul S, Robins JM. Diffuse idiopathic ankylosing skeletal hyperostosis («DISH»): Forestier's disease with extraspinal manifestations. Radiology 1975; (115): 513-24.
15. Kirilenko SI, Litvin AA, Kryzh SA, et al. Dysphagia as a result of compression of the esophagus by osteophytes of the cervical spine. Surgery News 2015; 23 (6): 688-92.
16. Aydin Е, Akdogan V, Akkuzu В, et al. Six cases of Forestier syndrome, a rare cause of dysphagia. Acta Otolaryngol 2006; 126 (7): 775-8.
17. Mazieres B. Diffuse idiopathic skeletal hyperostosis (Forestier-Rotes-Querol disease): what's new? Joint Bone Spine 2013; 80 (5): 466-70. DOI: 10.1016/j.jbspin.2013.02.011.
18. Bunmaprasert T, Trirattanapikul V, Sugandhavesa N, et al. Reducible nonunited type ii odontoid fracture with atlantoaxial instability: outcomes of two different fixation techniques. Int J Environ Res Public Health 2021; (18): 79-90.
19. Liu J, Hai Y, Kang N, et al. Risk factors and preventative measures of early and persistent dysphagia after anterior cervical spine surgery: a systematic review. Eur Spine J 2018; (27): 1209-18. DOI: 10.1007/s00586-017-5311-4.
20. Lui Jonathan YC, Sayal P, Prezerakos G, et al. The surgical management of dysphagia secondary to diffuse idiopathic skeletal hyperostosis. Clinical Neurology and Neurosurgery 2018; (167): 36-42. DOI: 10.1016/j.clineuro.2018.02.010.
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