2. Patient is 63 yo with “stiffening” LB
ache and Type I DM
3. DISH
(Diffuse Idiopathic Skeletal Hyperostosis)
• Forrestier’s Disease
• “Flowing Bone”
ossification of the spinal
ligaments
• Creates synostosis of
vertebra and reduction of
ROM
• Can be found with DDD
but commonly found in
normal height discs too
• Associated with Diabetes
4. See more case studies and sign up for
seminars at
StudySpine.com