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DISH (Diffuse idiopathic skeletal hyperostosis) is a noninflammatory enthesopathy ossifying the anterolateral spine and sparing the disc and joint space in elderly men, mostly at thoracic levels. In rare cases of extensive ossification of the cervical spine, compression of the oesophagus and less often the trachea by anterior longitudinal ligament can lead to dysphagia, hoarseness, stridor and dyspnoea. Symptoms occur as a result of direct bony compression of the oesophagus. However, they may also be caused by compression neuropathy of laryngeal nerves.
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