Abstract
Dysphagia caused by cervical hyperostosis is relatively rare. Foresier and Rotes-Querol initially described ankylosing spinal hyperostosis, and Resnick and Niwayama later coined the term “diffuse idiopathic skeletal hyperostosis” for cervical osteophytes. Such osteophytes are considered to be strongly correlated with ossification of the anterior longitudinal ligament. We present three patients with dysphagia caused by cervical hyperostosis who were treated by surgical resection of osteophytes and whose symptoms were relieved postoperatively. We discuss the surgical strategy for this clinical entity on the basis of radiological and pathological examinations. All three patients were relieved of their dysphagia after the operation, and postoperative barium esophagograms showed no compressive shadows. Surgical resection of the osteophytes in the early stage of dysphagia is recommended after due consideration of the compression status as evaluated by barium esophagography.
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