2022 Volume 13 Issue 7 Pages 987-991
Introduction: We report a case of a diffuse idiopathic skeletal hyperostosis (DISH) -induced vertebral fracture in an elderly patient who was treated using percutaneous reduction.
Case Report: An 83-year-old man presented with an L1 fracture showing anteroposterior displacement and paralysis (Frankel B class) accompanied by DISH. We inserted a percutaneous screw using the penetrating endplate screw (PES) method with the patient placed in the prone position. The rod was adjusted based on the appropriate reduction position and was fixed to the screw initially at the caudal aspect. The screw at the cranial aspect was gradually pulled toward the rod by fixing it. Reduction was successful without screw loosening. Paralysis recovered to Frankel class C1 postoperatively, and no screw loosening was observed one year later.
Conclusion: Percutaneous reduction is advantageous for low invasion and bone fusion. The PES method may be a useful treatment option in patients with the aforementioned clinical presentation.
