Schmorl's Nodes - Causes, Symptoms, & Treatment
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Schmorl's Nodes - Causes, Symptoms, & Treatment
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Case study 99 - Schmorl’s node Schmorl’s nodes are herniations of nucleus pulposus of the intervertebral disc through the cartilaginous and bony endplate into the adjacent vertebra. Schmorl’s nodes are extremely common and are typically seen as incidental findings on radiographic imaging. In postmortem studies, it has been estimated that greater than 70% of the population has Schmorl’s nodes. Rarely, however, Schmorl’s nodes can be a cause of acute back pain and, even less often, radiculopathy.
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Most people have never heard of Schmorl’s nodes, yet they appear on many MRIs. On imaging they look like a tiny crater in the vertebra. That crater is disc material pushed vertically through the vertebral endplate into bone, an intravertebral herniation. I treat it as evidence. Science first. Acute nodes inflame the surrounding marrow. On MRI that shows as T1 dark and T2 or STIR bright, sometimes with contrast enhancement. As healing progresses the rim hardens, edema fades, and symptoms often se
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