+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Diffuse idiopathic skeletal hyperostosis (DISH) of the spine: a cause of back pain? A controlled study



Diffuse idiopathic skeletal hyperostosis (DISH) of the spine: a cause of back pain? A controlled study



British Journal of Rheumatology 28(4): 299-303



This is the first controlled study of the frequency of back pain in a European caucasian population with diffuse idiopathic skeletal hyperostosis (DISH). Elderly patients admitted to hospital for reasons other than back pain were assessed for the presence of spinal DISH using the routine lateral chest radiograph films. A total of 106 probands (82 males, 24 females) with a mean age of 70 years fulfilled the criteria for DISH as defined previously. One hundred and seventy-eight patients (117 males, 61 females) not meeting these criteria were used as controls. The prevalence of back pain was assessed by a blinded interviewer using a structured questionnaire. Our primary hypothesis was that spinal DISH positive probands had not had back pain more often than controls. This controlled study showed no statistically significant difference in pain frequency between spinal DISH positive probands and controls at any spinal level. We conclude that back pain does not occur more often in radiographically defined DISH positive probands than in controls. The radiological finding of spinal DISH, as far as it does not lead to stenosis of the spinal canal or dysphagia, thus seems to be a finding without clinical relevance.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 039831219

Download citation: RISBibTeXText

PMID: 2525942

DOI: 10.1093/rheumatology/28.4.299


Related references

Diffuse idiopathic skeletal hyperostosis (DISH) - A common but less known cause of back pain. Journal of Clinical Orthopaedics and Trauma 8(2): 191-196, 2017

Acupuncture for back pain in a patient with Forestier's disease (diffuse idiopathic skeletal hyperostosis/DISH). Acupuncture in Medicine 20(2-3): 102-104, 2002

Diffuse idiopathic skeletal hyperostosis (DISH) of the elbow: a cause of elbow pain? A controlled study. British Journal of Rheumatology 31(5): 319-323, 1992

Diffuse idiopathic skeletal hyperostosis (DISH) of the shoulder. A controlled radiological study. Rheumatology International 15(3): 107-110, 1995

Diffuse idiopathic skeletal hyperostosis (DISH) of the elbow: a controlled radiological study. Bmc Musculoskeletal Disorders 16: 119, 2015

Extraspinal enthesopathy in diffuse idiopathic skeletal hyperostosis dish a controlled radiologic study. Arthritis & Rheumatism 32(4 Suppl.): S20, 1989

Prevalence of diffuse idiopathic skeletal hyperostosis (DISH) of the whole spine and its association with lumbar spondylosis and knee osteoarthritis: the ROAD study. Journal of Bone and Mineral Metabolism 33(2): 221-229, 2015

Images in spine surgery: diffuse idiopathic skeletal hyperostosis (DISH). Jpma. Journal of the Pakistan Medical Association 57(3): 157-158, 2007

The prevalence of palpable finger joint nodules in diffuse idiopathic skeletal hyperostosis (DISH). A controlled study. British Journal of Rheumatology 31(8): 531-534, 1992

Diffuse idiopathic skeletal hyperostosis (DISH) of the spine: a risk factor after hip joint replacement?. British Journal of Rheumatology 29(1): 75, 1990

Diffuse Idiopathic Skeletal Hyperostosis (DISH) of the Spine: A Risk Factor after Ilip Joint Replacement?. Rheumatology 29(1): 75-75, 1990

Prevalence of diffuse idiopathic skeletal hyperostosis (DISH) assessed with whole-spine computed tomography in 1479 subjects. Bmc Musculoskeletal Disorders 19(1): 178, 2018

Diffuse idiopathic skeletal hyperostosis and its relation to back pain among older men: the MrOS Study. Seminars in Arthritis and Rheumatism 41(2): 131-138, 2011

A case of diffuse idiopathic skeletal hyperostosis (DISH) with hyperostosis frontalis interna. Rinsho Shinkeigaku 27(8): 1013-1016, 1987

Diffuse idiopathic skeletal hyperostosis (DISH) [ankylosing hyperostosis of Forestier and Rotes-Querol. Seminars in Arthritis and Rheumatism 7(3): 153-187, 1978