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Background and Aims DISH syndrome, also known as diffuse idiopathic skeletal hyperostosis, is a musculoskeletal disorder that primarily affects the spine. It is characterized by the abnormal calcification (ossification) of ligaments and tendons where they attach to the bones. This excessive bone growth can lead to the formation of bony outgrowths called osteophytes or bone spurs.Skeletal hyperostosis is rare in young patient.

Methods We present a case of a 48 year old female patient with chronic pain at the right side of her back for 13 years. The pain (NRS 8-10), affecting her daily life, was constant and extends from the level of T8 until T12 vertebrae. She has consulted many doctors of various specialties and tried numerous pharmacological treatments, with no results. The cause of pain was unknown until a year ago when she was diagnosed with Forestier syndrome. The patient came to our clinic totally disappointed and in unbearable pain. Hence she had tried all available pharmacological treatments, with no results. She was reluctant to receive any drugs.

Results We decided to preform diagnostic blocks of the medial brunch using C-arm guidance. As the blocks were successful we proceeded to radiofrequency ablation of the medial brunch in the same levels (80 Co for 3 min). The patient reports improvement (NRS 3) and is very satisfied.

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Abstract #36147 Figure 1

RFA

Conclusions Radiofrequency ablation treatment is a minimally invasive procedure that can be used to manage pain associated with various spinal conditions, including DISH syndrome. In young patients with DISH syndrome,RFA has been found to be a promising treatment.