Tuesday, April 14, 2009

Schmorl's Node

Schmorl's nodes occur when the cartilage of the intervertebral disc protrude through the vertebral body endplate into the adjacent vertebra. These protrusions may contact the bone marrow of the vertebra and lead to inflammation. These protrusions may also be responsible for necrosis ( condition of death) of the vertebral bone. They may or may not be symptomatic, and it is questionable whether or not it will cause back pain.




The T-2 weighted image on the left shows a Schmorl's node in the lumbar region and has protruded into the vertebral body of L-3. Although Schmorl's node can be seen radiographically, the modality of choice would be either MRI or a CT scan for a much better and more diagnostic image.

It is believed that Schmorl's nodes develop after some type of back trauma, but the fact is that Schmorl's nodes are not well understood.





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