SCHMORLS NODES ON MAGNETIC-RESONANCE-IMAGING - THEIR INCIDENCE AND CLINICAL RELEVANCE

被引：124

作者：

HAMANISHI, C

KAWABATA, T

YOSII, T

TANAKA, S

机构：

[1] Department of Orthopaedic Surgery, Kinki University School of Medicine, Osaka, Osaka-Sayama

来源：

SPINE | 1994年 / 19卷 / 04期

关键词：

Disc herniation; Mri; Schmorl's node;

D O I：

10.1097/00007632-199402001-00012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Schmorl's nodes were observed in 76 (19%) of 400 patients with lumbar symptoms, and in 10 (9.4%) of 106 control patients. In the lumbar group, the highest incidence was 57%, in the second decade of life, and the lowest was 5%, in the sixth decade of life. Using MRI, among both groups, a total number of 218 Schmorl's nodes were observed at 170 disc levels; however, plain x-ray revealed only 73 (33%) of them. There were associated posterior disc herniations at 39 disc levels in 30 cases (39%), most of which were at the L4/5 level. The ratio of the cases showing only Schmorl's nodes to those with associated disc herniations at the same level increased markedly with age. Three of the four teen-aged patients with multiple Schmorl's nodes at four or more disc levels had a history of hard sports. Schmorl's nodes, therefore, appear to be a type of vertical disc herniation, and to be an important pathognomonic condition, especially for young people.

引用

页码：450 / 453

页数：4

共 6 条

[1]

Begg A.C., Nuclear herniations of the intervertebral disc. Their radiological manifestations and significance, J Bone Joint Surg, 36B, pp. 180-193, (1954)

[2]

Coventry M.B., Ghormley R.K., Kernohan J.W., The intervertebral disc. Its microscopic anatomy and pathology. Part II. Changes in the intervertebral disc concomitant with age, J Bone Joint Surg, 27, pp. 233-247, (1945)

[3]

Coventry M.B., Ghormley R.K., Kernohan J.W., The intervertebral disc. Its microscopic anatomy and pathology. Part III. Pathological changes in the intervertebral disc, J Bone Joint Surg, 27, pp. 460-474, (1945)

[4]

Schmorl G., Junghanns H., Die Gesunde Und Kranke Wirbelsaule Im Rontgenbild, (1932)

[5]

Yasuma T., Saito S., Kihara K., Schmorl’s nodes. Correlation of X-rays and histological findings in postmortem specimens, Acta Pathol Jpn, 38, pp. 723-733, (1988)

[6]

Yosioka T., Tuji H., Nisino K., Roentgenographic findings of unusual indentation at the discovertebral border in high school students, Cent Jpn J Orthop Traum, 24, pp. 1175-1177, (1980)

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