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Definition. Diffuse idiopathic skeletal hyperostosis (DISH) is a bony hardening (calcification) of ligaments in areas where they attach to your spine. Also known as Forestier's disease, diffuse idiopathic skeletal hyperostosis may cause no symptoms and require no treatment.
Pathological features of spinal DISH include 5 1  : focal and diffuse calcification and ossification of the anterior longitudinal ligament. 2  paraspinal connective tissue and annulus fibrosis. 3  degeneration in the peripheral annulus fibrosis fibers. 4  anterolateral extensions of fibrous tissue. 5  hypervascularity.r Prashant Mudgal and Radswiki et al. Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier disease is a common condition characterised by bone proliferation at sites of tendinous and ligamentous insertion of the spine affecting elderly individuals.