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Schmorl node induced multiple radiculopathy: A rare case report
Yongjie Chen1, Guojun Wei, Zongguang Li
1Department of Orthopedic Surgery, Xiang'an Hospital of Xiamen University, Xiamen City, Fujian Province, China.
Medicine
|October 30, 2020
Summary
A rare case of Schmorl node caused lumbar radiculopathy. Surgical removal of the herniated disc material relieved symptoms, highlighting the importance of addressing vertebral body protrusions causing nerve compression.
Area of Science:
- Neurology
- Spinal Surgery
- Radiology
Background:
- Schmorl nodes, benign intravertebral disc herniations, can rarely cause significant neurological deficits.
- Osteoporosis can predispose individuals to Schmorl node formation and vertebral body compromise.
Observation:
- A 70-year-old female presented with lower back pain, leg numbness, and weakness.
- Imaging revealed a Schmorl node with a herniated disc fragment causing lumbar spinal stenosis and nerve root compression.
Findings:
- Surgical decompression via hemilaminectomy and removal of the herniated disc material.
- Immediate resolution of radicular leg pain and significant back pain reduction post-surgery.
Implications:
- Schmorl nodes can enlarge and protrude, leading to severe nerve root compression and radiculopathy.
- Prompt surgical intervention is crucial for managing symptomatic Schmorl node-induced radiculopathy.