Infected Schmorl’s node: a case report

Abstract Background Schmorls node (SN) are mostly asymptomatic and incidental findings on MRI. However, sometimes they present like acute onset low back pain or acute exacerbation of chronic back pain after minor trauma. Case presentation We present rare case of symptomatic infected SN in 67 years f...

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Main Authors: Hyeun Sung Kim, Harshavardhan Dilip Raorane, Sagar Bhupendra Sharma, Pang Hung Wu, Il-Tae Jang
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-020-03276-4
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author Hyeun Sung Kim
Harshavardhan Dilip Raorane
Sagar Bhupendra Sharma
Pang Hung Wu
Il-Tae Jang
author_facet Hyeun Sung Kim
Harshavardhan Dilip Raorane
Sagar Bhupendra Sharma
Pang Hung Wu
Il-Tae Jang
author_sort Hyeun Sung Kim
collection DOAJ
description Abstract Background Schmorls node (SN) are mostly asymptomatic and incidental findings on MRI. However, sometimes they present like acute onset low back pain or acute exacerbation of chronic back pain after minor trauma. Case presentation We present rare case of symptomatic infected SN in 67 years female patient presented with complains of low back pain radiating to right buttock. After initial conservative treatment failed subsequent imaging showed significant increase in size of lesion with focal signal changes in disc space gave suspicion of underlying secondary pathology. Patient operated for complete excision of lesion. Histopathological report was suggestive of pyogenic vertebral osteomyelitis. Patient improved well postoperatively. Conclusion Most of the time acute SN responds well to conservative treatment; however rapid deterioration of symptoms or persistent severe pain should give suspicion of underlying secondary pathology.
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spelling doaj.art-c2e9c7905df14275bb528cd3f0e17b512022-12-21T18:53:02ZengBMCBMC Musculoskeletal Disorders1471-24742020-05-012111710.1186/s12891-020-03276-4Infected Schmorl’s node: a case reportHyeun Sung Kim0Harshavardhan Dilip Raorane1Sagar Bhupendra Sharma2Pang Hung Wu3Il-Tae Jang4Department of Neurosurgery, Nanoori Hospital GangnamDepartment of Neurosurgery, Nanoori Hospital GangnamDepartment of Neurosurgery, Nanoori Hospital GangnamDepartment of Neurosurgery, Nanoori Hospital GangnamDepartment of Neurosurgery, Nanoori Hospital GangnamAbstract Background Schmorls node (SN) are mostly asymptomatic and incidental findings on MRI. However, sometimes they present like acute onset low back pain or acute exacerbation of chronic back pain after minor trauma. Case presentation We present rare case of symptomatic infected SN in 67 years female patient presented with complains of low back pain radiating to right buttock. After initial conservative treatment failed subsequent imaging showed significant increase in size of lesion with focal signal changes in disc space gave suspicion of underlying secondary pathology. Patient operated for complete excision of lesion. Histopathological report was suggestive of pyogenic vertebral osteomyelitis. Patient improved well postoperatively. Conclusion Most of the time acute SN responds well to conservative treatment; however rapid deterioration of symptoms or persistent severe pain should give suspicion of underlying secondary pathology.http://link.springer.com/article/10.1186/s12891-020-03276-4Schmorl’s nodeSymptomaticInfectedMRI
spellingShingle Hyeun Sung Kim
Harshavardhan Dilip Raorane
Sagar Bhupendra Sharma
Pang Hung Wu
Il-Tae Jang
Infected Schmorl’s node: a case report
BMC Musculoskeletal Disorders
Schmorl’s node
Symptomatic
Infected
MRI
title Infected Schmorl’s node: a case report
title_full Infected Schmorl’s node: a case report
title_fullStr Infected Schmorl’s node: a case report
title_full_unstemmed Infected Schmorl’s node: a case report
title_short Infected Schmorl’s node: a case report
title_sort infected schmorl s node a case report
topic Schmorl’s node
Symptomatic
Infected
MRI
url http://link.springer.com/article/10.1186/s12891-020-03276-4
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AT iltaejang infectedschmorlsnodeacasereport