Schmorl's nodes: current pathophysiological, diagnostic, and therapeutic paradigms

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• 作者：Tobias A. Mattei (1)
  Azeem A. Rehman (2)
  
• 关键词：Schmorl's node ; Back pain ; Modic changes ; Endplate changes ; Osteoporotic fracture ; Degenerative disc disease
• 刊名：Neurosurgical Review
• 出版年：2014
• 出版时间：January 2014
• 年：2014
• 卷：37
• 期：1
• 页码：39-46
• 全文大小：364 KB
• 作者单位：Tobias A. Mattei (1)
  Azeem A. Rehman (2)
  
  1. Department of Neurosurgery, University of Illinois College of Medicine at Peoria, 828 NE Glen Oak, #302, Peoria, IL, 61603, USA
  2. University of Illinois College of Medicine at Peoria, Peoria, IL, USA
  
• ISSN：1437-2320

文摘

Schmorl's nodes were first described by the pathologist Christian Schmorl in 1927 as a herniation of the nucleus pulposus through the cartilaginous and bony endplate into the vertebral body. Although such lesions present most commonly as incidental findings in asymptomatic patients (or in patients with back or radicular pain due to other etiology), there have been several reports emphasizing the deleterious effects of the inflammatory response and endplate changes elicited by the herniation of for such reasons, Schmorl's nodes have been occasionally implicated in the etiology of chronic axial pain as well as in pathological osteoporotic fractures. In this article, a thorough literature review about the most relevant historical studies on Schmorl's nodes previously published is performed. Furthermore, the authors provide an overview about the recent advances in basic science research on the pathophysiology of such lesions, as well as on current diagnostic and therapeutic paradigms.