Archives of Orthopaedic and Trauma Surgery

, Volume 127, Issue 7, pp 553–555 | Cite as

Diffuse idiopathic skeletal hyperostosis as a cause of acute respiratory distress in early postoperative period of total knee arthroplasty

  • Alper Gokce
  • Tahsin Beyzadeoglu
  • Lale Hanci
  • Fahri Erdogan
Orthopaedic Surgery


Diffuse idiopathic skeletal hyperostosis (DISH) is a common disorder among the elderly. The diagnosis is made on radiological findings and most of the cases are asymptomatic. In the cases with spinal involvement, bridging ossification of the anterior longitudinal ligament is a common finding. We report a case of DISH, who developed respiratory distress after bilateral total knee arthroplasty operation. The acute occurrence of symptoms after general anesthesia is a rare manifestation of the disease. Radiological findings and the result of surgical resection of anterior cervical osteophytes are discussed.


Diffuse idiopathic skeletal hyperostosis Respiratory distress Total knee arthroplasty 


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Alper Gokce
    • 1
    • 4
  • Tahsin Beyzadeoglu
    • 1
  • Lale Hanci
    • 2
  • Fahri Erdogan
    • 3
  1. 1.Department of Orthopaedics and Traumatology, Faculty of MedicineYeditepe UniversityIstanbulTurkey
  2. 2.Department of NeurosurgeryBaltalimani State HospitalIstanbulTurkey
  3. 3.Department of Orthopaedics and Traumatology, Cerrahpasa Faculty of MedicineIstanbul UniversityIstanbulTurkey
  4. 4.Yeditepe University HospitalIstanbulTurkey

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