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2017 ; 9
(7
): e1502
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
A Case of Persistent Low Back Pain in a Young Female Caused by a Trauma-Induced
Schmorl s Node in the Lumbar Spine Five Vertebra
#MMPMID28948122
Mohty KM
; Mandair D
; Munroe B
; Baldemor D
Cureus
2017[Jul]; 9
(7
): e1502
PMID28948122
show ga
Physicians are often faced with managing difficult conditions such as chronic
lower back pain. Intervertebral disk herniation typically occurs horizontally,
leading to impingement of the spinal cord which can potentially cause radicular
symptoms or other spinal cord pathologies; however, disk herniations can also
occur vertically and extend through the endplate of an adjacent cranial or caudal
vertebra: a phenomenon known as a Schmorl's node. Although Schmorl's nodes can be
seen in many asymptomatic individuals, they can be a cause of degenerative disk
disease and low back pain. An 18-year-old female with a history of trauma
presented to urgent care with increasing lower back pain for the past six weeks.
Four months prior, she was struck by a motor vehicle while riding her bicycle,
and she had residual back pain since then. Plain radiography at the time of the
accident showed no acute abnormalities. She had no other associated symptoms. On
presentation, her vital signs were within normal limits, and her physical
examination was largely unremarkable except for point tenderness along the lumbar
(L4-L5) region of the spine. A complete blood count showed no leukocytosis and
plain radiography of the lumbosacral spine showed a Schmorl's node in the
inferior endplate of L5. The patient was diagnosed with a trauma-induced
Schmorl's node and was treated with physical therapy, ice packs, and
non-steroidal anti-inflammatory drugs. Her symptoms improved over the next
several months. For patients with a history of axial load trauma and persistent
back pain, clinicians should consider the possibility of a trauma-induced
Schmorl's node. Plain radiography or magnetic resonance imaging can help with the
diagnosis and guide further management.