Node within vertebral body due to vertical disc extension through weakened vertebral body endplate
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Lee JH et al: Differentiation of Schmorl nodes from bone metastases of the spine: use of apparent diffusion coefficient derived from dwi and fat fraction derived from a Dixon sequence. AJR Am J Roentgenol. 213(5):W228-35, 2019
Tomasian A et al: Benign spine lesions: advances in techniques for minimally invasive percutaneous treatment. AJNR Am J Neuroradiol. 38(5):852-61, 2017
Diehn FE et al: Uncommon manifestations of intervertebral disk pathologic conditions. Radiographics. 36(3):801-23, 2016
Mattei TA et al: Schmorl's nodes: current pathophysiological, diagnostic, and therapeutic paradigms. Neurosurg Rev. 37(1):39-46, 2014
Abu-Ghanem S et al: Acute Schmorl node in dorsal spine: an unusual cause of a sudden onset of severe back pain in a young female. Asian Spine J. 7(2):131-5, 2013
Mok FP et al: ISSLS prize winner: prevalence, determinants, and association of Schmorl nodes of the lumbar spine with disc degeneration: a population-based study of 2449 individuals. Spine (Phila Pa 1976). 35(21):1944-52, 2010
Dar G et al: Demographical aspects of Schmorl nodes: a skeletal study. Spine (Phila Pa 1976). 34(9):E312-5, 2009
Wu HT et al: Edematous Schmorl's nodes on thoracolumbar MR imaging: characteristic patterns and changes over time. Skeletal Radiol. 35(4):212-9, 2006
Coulier B: Giant fatty Schmorl's nodes: CT findings in four patients. Skeletal Radiol. 34(1):29-34, 2005
Peng B et al: The pathogenesis of Schmorl's nodes. J Bone Joint Surg Br. 85(6):879-82, 2003
Yamaguchi T et al: Schmorl's node developing in the lumbar vertebra affected with metastatic carcinoma: correlation magnetic resonance imaging with histological findings. Spine. 28(24):E503-5, 2003
Hauger O et al: Giant cystic Schmorl's nodes: imaging findings in six patients. AJR Am J Roentgenol. 176(4):969-72, 2001
Wagner AL et al: Relationship of Schmorl's nodes to vertebral body endplate fractures and acute endplate disk extrusions. AJNR Am J Neuroradiol. 21(2):276-81, 2000
Grive E et al: Radiologic findings in two cases of acute Schmorl's nodes. AJNR Am J Neuroradiol. 20(9):1717-21, 1999
Silberstein M et al: Spinal Schmorl's nodes: sagittal sectional imaging and pathological examination. Australas Radiol. 43(1):27-30, 1999
Fahey V et al: The pathogenesis of Schmorl's nodes in relation to acute trauma. An autopsy study. Spine. 23(21):2272-5, 1998
Seymour R et al: Magnetic resonance imaging of acute intraosseous disc herniation. Clin Radiol. 53(5):363-8, 1998
Swischuk LE et al: Disk degenerative disease in childhood: Scheuermann's disease, Schmorl's nodes, and the limbus vertebra: MRI findings in 12 patients. Pediatr Radiol. 28(5):334-8, 1998
Tribus CB: Scheuermann's kyphosis in adolescents and adults: diagnosis and management. J Am Acad Orthop Surg. 6(1):36-43, 1998
Stabler A et al: MR imaging of enhancing intraosseous disk herniation (Schmorl's nodes). AJR Am J Roentgenol. 168(4):933-8, 1997
Takahashi K et al: Schmorl's nodes and low-back pain. Analysis of magnetic resonance imaging findings in symptomatic and asymptomatic individuals. Eur Spine J. 4(1):56-9, 1995
Hamanishi C et al: Schmorl's nodes on magnetic resonance imaging. Their incidence and clinical relevance. Spine. 19(4):450-3, 1994
Jensen MC et al: Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 331(2):69-73, 1994
Takahashi K et al: A large painful Schmorl's node: a case report. J Spinal Disord. 7(1):77-81, 1994
Sward L: The thoracolumbar spine in young elite athletes. Current concepts on the effects of physical training. Sports Med. 13(5):357-64, 1992
Walters G et al: Magnetic resonance imaging of acute symptomatic Schmorl's node formation. Pediatr Emerg Care. 7(5):294-6, 1991
Mclain R et al: An unusual presentation of a Schmorl's node. Report of a case. Spine. 15(3):247-50, 1990
Sward L et al: Back pain and radiologic changes in the thoraco-lumbar spine of athletes. Spine. 15(2):124-9, 1990
McFadden KD et al: End-plate lesions of the lumbar spine. Spine. 14(8):867-9, 1989
Roberts S et al: Biochemical and structural properties of the cartilage end-plate and its relation to the intervertebral disc. Spine. 14(2):166-74, 1989
Kagen S et al: Focal uptake on bone imaging in an asymptomatic Schmorl's node. Clin Nucl Med. 13(8):615-6, 1988
Kornberg M: MRI diagnosis of traumatic Schmorl's node. A case report. Spine. 13(8):934-5, 1988
Yasuma T et al: Schmorl's nodes. Correlation of X-ray and histological findings in postmortem specimens. Acta Pathol Jpn. 38(6):723-33, 1988
Malmivaara A et al: Plain radiographic, discographic, and direct observations of Schmorl's nodes in the thoracolumbar junctional region of the cadaveric spine. Spine. 12(5):453-7, 1987
Saluja G et al: Schmorl's nodes (intravertebral herniations of intervertebral disc tissue) in two historic British populations. J Anat. 145:87-96, 1986
Lipson SJ et al: Symptomatic intravertebral disc herniation (Schmorl's node) in the cervical spine. Ann Rheum Dis. 44(12):857-9, 1985
Deeg HJ: Schmorl's nodule. N Engl J Med. 298(1):57, 1978
Resnick D et al: Intervertebral disc abnormalities associated with vertebral metastasis: observations in patients and cadavers with prostatic cancer. Invest Radiol. 13(3):182-90, 1978
Resnick D et al: Intravertebral disk herniations: cartilaginous (Schmorl's) nodes. Radiology. 126(1):57-65, 1978
Hilton RC et al: Vertebral end-plate lesions (Schmorl's nodes) in the dorsolumbar spine. Ann Rheum Dis. 35(2):127-32, 1976
Smith DM: Acute back pain associated with a calcified Schmorl's node: a case report. Clin Orthop. (117):193-6, 1976
Boukhris R et al: Schmorl's nodes and osteoporosis. Clin Orthop. 0(104):275-80, 1974
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Schmorl node (SN)
Synonyms
Intravertebral disc herniation
Definitions
Node within vertebral body due to vertical disc extension through weakened vertebral body endplate
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Lee JH et al: Differentiation of Schmorl nodes from bone metastases of the spine: use of apparent diffusion coefficient derived from dwi and fat fraction derived from a Dixon sequence. AJR Am J Roentgenol. 213(5):W228-35, 2019
Tomasian A et al: Benign spine lesions: advances in techniques for minimally invasive percutaneous treatment. AJNR Am J Neuroradiol. 38(5):852-61, 2017
Diehn FE et al: Uncommon manifestations of intervertebral disk pathologic conditions. Radiographics. 36(3):801-23, 2016
Mattei TA et al: Schmorl's nodes: current pathophysiological, diagnostic, and therapeutic paradigms. Neurosurg Rev. 37(1):39-46, 2014
Abu-Ghanem S et al: Acute Schmorl node in dorsal spine: an unusual cause of a sudden onset of severe back pain in a young female. Asian Spine J. 7(2):131-5, 2013
Mok FP et al: ISSLS prize winner: prevalence, determinants, and association of Schmorl nodes of the lumbar spine with disc degeneration: a population-based study of 2449 individuals. Spine (Phila Pa 1976). 35(21):1944-52, 2010
Dar G et al: Demographical aspects of Schmorl nodes: a skeletal study. Spine (Phila Pa 1976). 34(9):E312-5, 2009
Wu HT et al: Edematous Schmorl's nodes on thoracolumbar MR imaging: characteristic patterns and changes over time. Skeletal Radiol. 35(4):212-9, 2006
Coulier B: Giant fatty Schmorl's nodes: CT findings in four patients. Skeletal Radiol. 34(1):29-34, 2005
Peng B et al: The pathogenesis of Schmorl's nodes. J Bone Joint Surg Br. 85(6):879-82, 2003
Yamaguchi T et al: Schmorl's node developing in the lumbar vertebra affected with metastatic carcinoma: correlation magnetic resonance imaging with histological findings. Spine. 28(24):E503-5, 2003
Hauger O et al: Giant cystic Schmorl's nodes: imaging findings in six patients. AJR Am J Roentgenol. 176(4):969-72, 2001
Wagner AL et al: Relationship of Schmorl's nodes to vertebral body endplate fractures and acute endplate disk extrusions. AJNR Am J Neuroradiol. 21(2):276-81, 2000
Grive E et al: Radiologic findings in two cases of acute Schmorl's nodes. AJNR Am J Neuroradiol. 20(9):1717-21, 1999
Silberstein M et al: Spinal Schmorl's nodes: sagittal sectional imaging and pathological examination. Australas Radiol. 43(1):27-30, 1999
Fahey V et al: The pathogenesis of Schmorl's nodes in relation to acute trauma. An autopsy study. Spine. 23(21):2272-5, 1998
Seymour R et al: Magnetic resonance imaging of acute intraosseous disc herniation. Clin Radiol. 53(5):363-8, 1998
Swischuk LE et al: Disk degenerative disease in childhood: Scheuermann's disease, Schmorl's nodes, and the limbus vertebra: MRI findings in 12 patients. Pediatr Radiol. 28(5):334-8, 1998
Tribus CB: Scheuermann's kyphosis in adolescents and adults: diagnosis and management. J Am Acad Orthop Surg. 6(1):36-43, 1998
Stabler A et al: MR imaging of enhancing intraosseous disk herniation (Schmorl's nodes). AJR Am J Roentgenol. 168(4):933-8, 1997
Takahashi K et al: Schmorl's nodes and low-back pain. Analysis of magnetic resonance imaging findings in symptomatic and asymptomatic individuals. Eur Spine J. 4(1):56-9, 1995
Hamanishi C et al: Schmorl's nodes on magnetic resonance imaging. Their incidence and clinical relevance. Spine. 19(4):450-3, 1994
Jensen MC et al: Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 331(2):69-73, 1994
Takahashi K et al: A large painful Schmorl's node: a case report. J Spinal Disord. 7(1):77-81, 1994
Sward L: The thoracolumbar spine in young elite athletes. Current concepts on the effects of physical training. Sports Med. 13(5):357-64, 1992
Walters G et al: Magnetic resonance imaging of acute symptomatic Schmorl's node formation. Pediatr Emerg Care. 7(5):294-6, 1991
Mclain R et al: An unusual presentation of a Schmorl's node. Report of a case. Spine. 15(3):247-50, 1990
Sward L et al: Back pain and radiologic changes in the thoraco-lumbar spine of athletes. Spine. 15(2):124-9, 1990
McFadden KD et al: End-plate lesions of the lumbar spine. Spine. 14(8):867-9, 1989
Roberts S et al: Biochemical and structural properties of the cartilage end-plate and its relation to the intervertebral disc. Spine. 14(2):166-74, 1989
Kagen S et al: Focal uptake on bone imaging in an asymptomatic Schmorl's node. Clin Nucl Med. 13(8):615-6, 1988
Kornberg M: MRI diagnosis of traumatic Schmorl's node. A case report. Spine. 13(8):934-5, 1988
Yasuma T et al: Schmorl's nodes. Correlation of X-ray and histological findings in postmortem specimens. Acta Pathol Jpn. 38(6):723-33, 1988
Malmivaara A et al: Plain radiographic, discographic, and direct observations of Schmorl's nodes in the thoracolumbar junctional region of the cadaveric spine. Spine. 12(5):453-7, 1987
Saluja G et al: Schmorl's nodes (intravertebral herniations of intervertebral disc tissue) in two historic British populations. J Anat. 145:87-96, 1986
Lipson SJ et al: Symptomatic intravertebral disc herniation (Schmorl's node) in the cervical spine. Ann Rheum Dis. 44(12):857-9, 1985
Deeg HJ: Schmorl's nodule. N Engl J Med. 298(1):57, 1978
Resnick D et al: Intervertebral disc abnormalities associated with vertebral metastasis: observations in patients and cadavers with prostatic cancer. Invest Radiol. 13(3):182-90, 1978
Resnick D et al: Intravertebral disk herniations: cartilaginous (Schmorl's) nodes. Radiology. 126(1):57-65, 1978
Hilton RC et al: Vertebral end-plate lesions (Schmorl's nodes) in the dorsolumbar spine. Ann Rheum Dis. 35(2):127-32, 1976
Smith DM: Acute back pain associated with a calcified Schmorl's node: a case report. Clin Orthop. (117):193-6, 1976
Boukhris R et al: Schmorl's nodes and osteoporosis. Clin Orthop. 0(104):275-80, 1974
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