Infected Schmorl’s node: a case report

Kim, Hyeun Sung; Raorane, Harshavardhan Dilip; Sharma, Sagar; Wu, Pang Hung; Jang, Il‐Tae

doi:10.1186/s12891-020-03276-4

Cited by 3 publications

(6 citation statements)

References 21 publications

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“…This finding might be useful to identify small SN. 2 Bone edema can also be seen on dual energy CT. 8,15 In this study, the SNs were clearly identified through CT scan to its size and multiple lesions. Sclerosis around the nodes' margin was also demonstrated in our CT scan findings.…”

Section: Discussionmentioning

confidence: 92%

Multiple Schmorl’s Nodes on Young Adult With Myofascial Pain Syndrome: A Case Report

Yusari

Sudira

Wijayanti

2023

MNJ

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Background: Schmorl’s node (SN) is described as intraosseous disc herniations which penetrate into the spinal canal, which is caused by the weakening of the cartilaginous endplate and subchondral bone. SN is usually detected on imaging which appears small, focal, and rounded with varying degrees of adjacent reactive sclerosis. Case Report: We present a rare case of symptomatic SN in 25-year-old male patient with complaints of discomfort and muscle strain in the back. These complaints were exacerbated by physical exercise. Severe tenderness was found at several levels of the thoracic vertebrae during palpation, where the trigger points were found in the lower trapezius muscle. Computerized tomography (CT) scan of the vertebra showed multiple bony lesions, noted as Schmorl’s nodes, at the inferior endplates of the T6-T11, and superior endplate of the T11 vertebra, in accordance to the location of severe pain during palpation. Conclusion: SN is associated with disc degeneration due to osteonecrosis process which leads to ischemia in the vertebral body. Microtrauma from excessive physical exercise could also contribute to the herniation through the weak points of the vertebral endplates. Knowledge and awareness of SN as one of the causes for acute or chronic back pain is essential for deciding early examination and diagnosis. Therefore, appropriate management could be delivered.

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Section: Discussionmentioning

confidence: 92%

Multiple Schmorl’s Nodes on Young Adult With Myofascial Pain Syndrome: A Case Report

Yusari

Sudira

Wijayanti

2023

MNJ

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“…In one schema, aging degenerates the cartilaginous endplate through which the nucleus pulposus can penetrate if increased intradiscal pressure overcomes the weakened endplate as opposed to the annulus fibrosus [ 1 , 7 ]. Inherent mechanisms within the nucleus pulposus may trigger cytokines and an inflammatory response leading to pain or other symptoms [ 3 ]. Other theories for the generation of pain include the fracture of the endplate through which the nucleus pulposus herniates and activates nociceptors in the annulus fibrosus and periosteum of the vertebral bodies that are exacerbated by micromovements, swelling, and inflammation [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment is typically conservative, including anti-inflammatories, rest, physical therapy, bracing, or injections, including blocks. Symptoms typically resolve with conservative management, but they can last anywhere from two weeks up to six months [ 1 - 3 , 5 , 7 ]. However, the pain can be significant enough to impact ADL’s and impact quality of life as was described in this case.…”

Section: Discussionmentioning

confidence: 99%

“…However, the pain can be significant enough to impact ADL’s and impact quality of life as was described in this case. In cases when patients fail conservative management, surgical interventions such as vertebroplasty or discectomy with segmental fusion have been pursued [ 1 , 3 , 7 - 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Schmorl’s nodes are asymptomatic and typically an incidental finding with an incidence as high as 76% and a slightly higher predominance in males [ 1 , 2 ]. They are most commonly located in the thoracolumbar spine [ 1 , 3 - 5 ]. It is possible to see the bony deformity on a CT scan, but due to its asymptomatic nature, MRI is not typically performed.…”

Section: Introductionmentioning

confidence: 99%

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Acute Lumbar Schmorl’s Node Following Chiropractic Adjustment

Albano¹,

Bacani²,

Alastra³

2022

Cureus

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Schmorl’s nodes are typically an incidental finding whereby a disc herniates into the vertebral body. The clinical course is rarely symptomatic. Here, we present a 41-year-old male who, following chiropractic manipulation, developed an acute Schmorl’s node. The patient was managed successfully with conservative measures. A 41-year-old male with acute on chronic low back pain following a chiropractic adjustment. Imaging demonstrated the development of an acute Schmorl’s node of the lumbar four-five disc into the lumbar 4 vertebral body after a chiropractic adjustment. He was treated with conservative measures with over 85% relief of back pain. Acute Schmorl’s nodes can develop after the chiropractic adjustment. In the case presented, conservative measures resulted in 85% improvement in pain.

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Comparison Of The Diagnostic Value Of Computed Tomography And Magnetic Resonance Imaging Of Schmorl’s Hernia In Young People

Tomić,

Stojak,

Majher Tomić

et al. 2024

J. appl. health sci. (Online)

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Uvod: Schmorlove hernije su često dijagnosticirane degenerativne promjene kralježaka koje se javljaju kod mladih osoba. U dijagnostici Schmorlove hernije najčešće se primjenjuju metode kompjuterizirana tomografija (CT) i magnetska rezonancija (MR). Oba modaliteta pružaju detaljne informacije o strukturi i stanju kralježaka, ali se razlikuju po principu rada i karakteristikama slike koje generiraju uz svoje prednosti i ograničenja. Materijal i metode: Istraživanje Schmorlovih hernija kod mladih osoba, s fokusom na usporedbu dijagnostičke vrijednosti kompjuterizirane tomografije i magnetske rezonancije, provedeno je u Zavodu za radiologiju Sveučilišne kliničke bolnice Mostar. Rezultati: Rezultati istraživanja pokazali su da je najmlađi ispitanik imao 14 godina, a najstariji 89 godina. Ispitanika mlađih od 45 godina bilo je 27 % u ukupnom broju ispitanika. U našem istraživanju bilo je više ispitanika muškog spola, njih 57 %. Znatno je više ispitanika imalo nalaz MR-a, njih 64 %, dok je ispitanika s nalazom MSCT-a bilo 36 %. Kod pretrage MSCT najčešće je nalaz Schmorlove hernije bio u torakalnoj regiji, 42 %. Za razliku od MSCT-a, kod MR-a su se pojavile diskretne promjene na pokrovnim plohama (10 %). Zaključak: Odabir između CT-a i MR-a ovisit će o kliničkim okolnostima, dostupnosti i ciljevima dijagnostičkog postupka. Važno je individualno prilagoditi dijagnostički pristup svakom pacijentu kako bi se postigla optimalna dijagnostička točnost i donijele informirane odluke o liječenju.

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Infected Schmorl’s node: a case report

Cited by 3 publications

References 21 publications

Multiple Schmorl’s Nodes on Young Adult With Myofascial Pain Syndrome: A Case Report

Multiple Schmorl’s Nodes on Young Adult With Myofascial Pain Syndrome: A Case Report

Acute Lumbar Schmorl’s Node Following Chiropractic Adjustment

Comparison Of The Diagnostic Value Of Computed Tomography And Magnetic Resonance Imaging Of Schmorl’s Hernia In Young People

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