Operations were carried out on 850 patients with neurological complications of lumbar osteochondrosis. Epidurography with 35-40% verografin solution was conducted before the operation in 795 patients. The method is described. Two variants of epidurograms are distinguished. The 1st variant is characteristic of protrusions of the disk or Schmorl's body and is manifested by a distorted band of the contrast medium at the level of the affected disk. The 2nd variant is typical of epiduritis with or without Schmorl's body; in this case the contrast medium is distributed irregularly in the epidural space or is absent at the level of the affected segments. Statistically significant data were obtained in 89% of patients.
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J Anat
December 2024
Human Anatomy Resource Centre, Education Directorate, University of Liverpool, Liverpool, UK.
Ochronotic pigmentation of connective tissue is the central pathological process in the rare metabolic disease alkaptonuria (AKU). Tissue pigmentation in AKU occurs due to unmetabolised homogentisic acid (HGA) in the circulation, caused by an enzyme deficiency in the liver. Ochronotic pigmentation, derived from HGA, has previously been reported and described in large joints obtained from arthroplasty surgeries, which typically have advanced disease.
View Article and Find Full Text PDFBiomedicines
November 2024
Department of Radiology, National Institute for Infectious Disease "Lazzaro Spallanzani", 00149 Rome, Italy.
Spondylodiscitis is an infection of the intervertebral disc, the adjacent vertebral body, and/or contiguous structures due to the introduction of infectious agent, usually by the hematogenous route. Imaging is crucial in assessing bacterial and tubercular spondylodiscitis, as well as their associated complications. Magnetic resonance imaging in particular can clearly depict osteo-structural changes in the vertebral body and the associated disc, as well as any soft-tissue complications, such as paravertebral abscess and/or epidural abscess, improving disease characterization and helping to recognize the agent involved.
View Article and Find Full Text PDFCureus
October 2024
Orthopedic Surgery, Atrium Health Levine Cancer Institute, Charlotte, USA.
In this report, we present a progressively enlarging, degenerative, intraspongious/intravertebral herniated nucleus pulposus, also referred to as a "Schmorl's node," in a 65-year-old patient with a history of prostate cancer. The patient initially presented to our orthopedic oncology clinic for the evaluation of lytic-appearing lesions involving the L4 and L5 vertebral bodies. He had been diagnosed with prostate cancer approximately four years prior and had been previously treated with prostatectomy.
View Article and Find Full Text PDFOrthop Surg
December 2024
General Hospital of Central Theater Command, Wuhan, Hubei, China.
Cureus
June 2024
Department of Orthopedic and Trauma Surgery, Spine and Tumor Surgery Unit, Hôpital Bicêtre, Assistance Publique Hôpitaux de Paris, Université Paris-Saclay, Paris, FRA.
The aim of this paper is to present a unique, to the best of our knowledge, case of a patient with a fracture of the first lumbar vertebra (L1), which occurred through a pre-existing Schmorl's node (SN), with histopathological characteristics mimicking a low-grade chondrosarcoma that initially led to a false diagnosis. A 54-year-old woman tripped and fell to the ground, sustaining a fracture of the L1 vertebral body. She was treated conservatively with gradual mobilization using a thoracolumbar brace for six weeks.
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