SCHMORLS NODES ON MAGNETIC-RESONANCE-IMAGING - THEIR INCIDENCE AND CLINICAL RELEVANCE
SCHMORLS NODES ON MAGNETIC-RESONANCE-IMAGING - THEIR INCIDENCE AND CLINICAL RELEVANCE
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DOI：
10.1097/00007632-199402001-00012
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发表时间：
1994-02-15
期刊：
影响因子：
3
通讯作者：
TANAKA, S
中科院分区：
文献类型：
--
作者：
HAMANISHI, C;KAWABATA, T;TANAKA, S
400例腰椎症状患者中有76例（19%）出现施莫尔淋巴结，106例对照患者中有10例（9.4%）出现施莫尔淋巴结。在腰椎组，最高的发病率为57%，在生命的第二个十年，最低的发病率为5%，在生命的第六个十年。通过MRI，两组患者在170个椎间盘水平共观察到218个Schmorl淋巴结；然而，x线平片仅显示73例（33%）。30例（39%）在39个椎间盘节段出现后椎间盘突出，其中大部分在L4/5节段。随着年龄的增长，仅伴有Schmorl淋巴结的病例与伴有同一水平椎间盘突出的病例的比例显著增加。在四个或更多椎间盘水平有多个Schmorl淋巴结的四名青少年患者中，有三名有剧烈运动史。因此，Schmorl淋巴结似乎是一种垂直椎间盘突出，是一种重要的病理条件，特别是对年轻人。
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.