Diffuse idiopathic skeletal hyperostosis in elderly patients with chance fracture leading to late onset nerve palsy due to minor trauma : Report of two cases.

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  • Yokota Miho
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Ebihara Takayuki
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Taniguchi Shinichi
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Suzuki Ryohei
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Tamura Hiroyuki
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Amagasa Shunsuke
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Kashiura Masahiro
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Chijiwa Tsuyoshi
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Shimoyama Akira
    Jichi medical university saitama medical center, department of emergency and critical care medicine
  • Moriya Takashi
    Jichi medical university saitama medical center, department of emergency and critical care medicine

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Other Title
  • 軽微な外傷でチャンス骨折を生じ遅発性神経麻痺に至った高齢者びまん性特発性骨増殖症の2例

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<p>The commonalities of our cases are followings : latter stage elderly, minor fall trauma, patients with diffuse idiopathic skeletal hyperostosis (DISH), and chance fracture with neurological deficits. DISH fractures predispose to late onset neurological deficits because diagnosis is likely to be inaccurate and leading to pseudoarthrosis. In elderly traumatized patients with lower back pain, it is necessary to consider the possibility of burst and chance fracture even if minor trauma. Delayed diagnosis and prolonged waiting for surgery would be associated with late onset neurological deficits. The careful management is required for emergency physicians because similar cases will be increased in Japan.</p>

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