Chronic backache all over from neck to down for last few years. On examination there was no remarkable clinical sign. There was no other constitutional symptom. Routine laboratory examination was within normal limit.
Loading Stack -
0 images remaining
Lumbar curvature seems to be maintained . Vertebrae are with slightly reduced height: flat vertebrae. Multilevel disc bulging, few are with low signal/dehydrated more at L2-3, L3-4.
T1& T2 weighted sagittal MR scan of the lumbar spine showing rounded fairly central endplate cortical defects/Schmörl nodes with herniated disc material at T12, L1, 2, 5.
No significant high signal due to inflammation & oedema is noted in the bone marrow surrounding the Schmörl nodes in T2 weighted slice.
Intervertebral disc spaces are not remarkably reduced.
Schmörl nodes (often spelled Schmorl 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.
- 1. Hilton RC, Ball J, Benn RT. Vertebral end-plate lesions (Schmorl's nodes) in the dorsolumbar spine. Ann. Rheum. Dis. 1976;35 (2): 127-32. Free text at pubmed - Pubmed citation
- 2. Moore RJ. The vertebral endplate: disc degeneration, disc regeneration. Eur Spine J. 2006;15 Suppl 3 (S3): S333-7. doi:10.1007/s00586-006-0170-4 - Free text at pubmed - Pubmed citation
- 3. Takahashi K, Miyazaki T, Ohnari H et-al. Schmorl's nodes and low-back pain. Analysis of magnetic resonance imaging findings in symptomatic and asymptomatic individuals. Eur Spine J. 1995;4 (1): 56-9. Pubmed citation