Osteophytes associated with spondylosis have been implicated as a cause of
multiple extraspinal manifestations. Symptoms are more likely to occur with
the large osteophytes associated with diffuse idiopathic skeletal hyperost
osis. In the thoracic region, osteophytes have been reported infrequently a
s a cause of extraspinal complications. We report a case in which an anteri
or thoracic vertebral osteophyte was responsible for chronic obstructive pn
eumonia due to obstruction of the right main stem bronchus. The patient's c
ondition improved considerably after surgical resection of the compressing
thoracic osteophyte.