Acute Schmörl node

Case contributed by Dr Chris O'Donnell

Presentation

Active, sports loving child with 3 weeks of back pain. Otherwise well with normal CRP and white cell count. No fever.

Patient Data

Age: 11
Gender: Female
Modality: MRI

Herniation of disc material into the superior endplate of L1 with marked surrounding bone marrow oedema but no involvement of the T12 endplate and no disc desiccation or oedema.

Case Discussion

Major differential in this case is endplate osteomyelitis but no T12 involvement.  L1 endplate cortex otherwise intact.  Follow-up after 12 weeks of rest (no sport) showed dramatic resolution of the bone marrow oedema.

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Case Information

rID: 26869
Case created: 11th Jan 2014
Last edited: 18th Nov 2015
System: Spine
Inclusion in quiz mode: Included

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