Has a combination of ankylosing hyperostosis (DISH) and Ossification of the
posterior longitudinal ligament (OPLL). Notice the anterior solid ankylosis
by mature bridging syndesmophytes and an ossified anterior longitudinal
ligament..
In the Japanese population, OPLL can be solitary. An association with DISH
across all populations has been reported in up to 45%.
Here’s an interesting article: pubmed.ncbi.nlm.nih.gov/20697749/
[image: 65UOMDISHOPLL3.jpg]
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[image: 65UOMDISHOPLL1.jpg]
[image: 65UOMDISHOPLL3.jpg]
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[image: 65UOMDISHOPLL5.jpg]
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