Abstract
Cervical spondylosis and ankylosing hyperostosis of the cervical vertebrae are usually asymptomatic. This is a case report of a patient with massive anterior cervical osteophytes resulting in failure of intubation prior to a lumbar canal stenosis surgery. The osteophytes extended from C3 to C7 and resulted in the anterior displacement of the pharynx and the trachea. The patient was managed successfully with anterior cervical osteophytectomy.
Highlights
Received 10/23/2017 Review began 02/12/2018 Review ended 03/10/2018 Published 03/31/2018Diffuse idiopathic skeletal hyperostosis (DISH), known as Forestier’s disease, was first described by Forestier and Rotes-Querol in 1950 [1]
Large bone spurs can form in front of the cervical vertebrae that can occasionally interfere with the passage of food
We present the case report of a male patient who underwent failed intubation as a result of such hyperostosis with chronic neck pain and dysphagia secondary to DISH, as well as to present a review of the literature
Summary
Received 10/23/2017 Review began 02/12/2018 Review ended 03/10/2018 Published 03/31/2018. Diffuse idiopathic skeletal hyperostosis (DISH), known as Forestier’s disease, was first described by Forestier and Rotes-Querol in 1950 [1] It is characterized radiologically by flowing calcification along the sides of the contiguous vertebrae of the spine. We present the case report of a male patient who underwent failed intubation as a result of such hyperostosis with chronic neck pain and dysphagia secondary to DISH, as well as to present a review of the literature. The patient was booked for lumbar laminectomy to relieve the stenotic area, but the procedure was canceled due to failed trials of endotracheal intubation by two different anesthesiologists. A) Sagittal cervical CT scan showing anterior hyperostosis and anteriorly deviated airway.
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