Schmorl nodes
Updates to Article Attributes
SchmörlSchmorl nodes (correctly spelled SchmorlSchmörl nodes) refer to protrusions of the cartilage of the intervertebral disc through the vertebral body endplate and into the adjacent vertebra. The protrusions may contact the marrow of the vertebra, leading to inflammation.
It is believed that Schmorl's nodes develop following back trauma, although this is incompletely understood. A more recent study suggest nucleus pulposus pressure on the weakest part of the end plate of vertebral development process during early life as possible explanation 7.
They may or may not be symptomatic, and theiretiological etiological significance for back pain is controversial. Schmorl's nodes are found in 40 - 75-75% of autopsies.
In the acute stage, Schmörl's nodes acan be difficult to diagnose or detect due to sclerosis around the margin of the herniation not having had time to develop.
Schmorl nodes are among the diagnostic criteria of Scheuermann disease 6.
A limbus vertebra is closely related to a Schmorl node as well.
Etymology
NamedIt is named after Christian Georg SchmorlSchmörl(1861-1932), German pathologist which first described them in 1927.
-<p><strong>Schmörl nodes</strong> (correctly spelled <strong>Schmorl nodes) </strong>refer to protrusions of the cartilage of the <a href="/articles/intervertebral-disc">intervertebral disc</a> through the vertebral body endplate and into the adjacent <a href="/articles/vertebra">vertebra</a>. The protrusions may contact the <a href="/articles/bone_marrow">marrow</a> of the vertebra, leading to inflammation.</p><p>It is believed that Schmorl's nodes develop following back trauma, although this is incompletely understood. A more recent study suggest <a title="Nucleus pulposus" href="/articles/nucleus-pulposus">nucleus pulposus</a> pressure on the weakest part of the end plate of vertebral development process during early life as possible explanation <sup>7</sup>.</p><p><font size="2"><span style="line-height:1.6em">They may or may not be symptomatic, and their </span></font>etiological<font size="2"><span style="line-height:1.6em"> significance for back pain is controversial. Schmorl's nodes are found in 40 - 75% of autopsies.</span></font></p><p>Schmorl nodes are among the diagnostic criteria of <a href="/articles/scheuermann-disease">Scheuermann disease</a> <sup>6</sup>.</p><p>A <a href="/articles/limbus_vertebra">limbus vertebra</a> is closely related to a Schmorl node as well.</p><h4>Etymology</h4><p>Named after <strong>Christian Georg Schmorl</strong><strong> </strong>(1861-1932), German pathologist.</p>- +<p><strong>Schmorl nodes</strong> (correctly spelled <strong>Schmörl nodes) </strong>refer to protrusions of the cartilage of the <a href="/articles/intervertebral-disc">intervertebral disc</a> through the vertebral body endplate and into the adjacent <a href="/articles/vertebra">vertebra</a>. The protrusions may contact the <a href="/articles/bone-marrow">marrow</a> of the vertebra, leading to inflammation.</p><p>It is believed that Schmorl's nodes develop following back trauma, although this is incompletely understood. A more recent study suggest <a href="/articles/nucleus-pulposus">nucleus pulposus</a> pressure on the weakest part of the end plate of vertebral development process during early life as possible explanation <sup>7</sup>.</p><p>They may or may not be symptomatic, and their etiological significance for back pain is controversial. Schmorl's nodes are found in 40-75% of autopsies.</p><p>In the acute stage, Schmörl's nodes acan be difficult to diagnose or detect due to sclerosis around the margin of the herniation not having had time to develop. </p><p>Schmorl nodes are among the diagnostic criteria of <a href="/articles/scheuermann-disease">Scheuermann disease</a> <sup>6</sup>.</p><p>A <a href="/articles/limbus-vertebra">limbus vertebra</a> is closely related to a Schmorl node as well.</p><h4>Etymology</h4><p>It is named after <strong>Christian Georg Schmörl</strong><strong> </strong>(1861-1932), German pathologist which first described them in 1927.</p>
References changed:
- 8. Abu-Ghanem S, Ohana N, Abu-Ghanem Y, Kittani M, Shelef I. Acute Schmorl Node in Dorsal Spine: An Unusual Cause of a Sudden Onset of Severe Back Pain in a Young Female. Asian Spine J. 2013;7(2):131-5. <a href="https://doi.org/10.4184/asj.2013.7.2.131">doi:10.4184/asj.2013.7.2.131</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/23741552">Pubmed</a>
Image 1 MRI (STIR) ( create )
Image 8 MRI (T1 C+ fat sat) ( create )
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