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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Format: | Article |
Language: | English |
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BMC
2020-05-01
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Series: | BMC Musculoskeletal Disorders |
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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. |
first_indexed | 2024-12-21T19:18:01Z |
format | Article |
id | doaj.art-c2e9c7905df14275bb528cd3f0e17b51 |
institution | Directory Open Access Journal |
issn | 1471-2474 |
language | English |
last_indexed | 2024-12-21T19:18:01Z |
publishDate | 2020-05-01 |
publisher | BMC |
record_format | Article |
series | BMC Musculoskeletal Disorders |
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 |
work_keys_str_mv | AT hyeunsungkim infectedschmorlsnodeacasereport AT harshavardhandilipraorane infectedschmorlsnodeacasereport AT sagarbhupendrasharma infectedschmorlsnodeacasereport AT panghungwu infectedschmorlsnodeacasereport AT iltaejang infectedschmorlsnodeacasereport |