Surgical management of a Schmorl's node in an Airedale Terrier and review of the literature

2012 ◽  
Vol 25 (02) ◽  
pp. 167-171 ◽  
Author(s):  
L. Hillebrand ◽  
T. J. Smith ◽  
S. M. Stieger-Vanegas ◽  
W. I. Baltzer

SummaryObjective: To describe a clinical case of Schmorl's node affecting the lumbosacral disc in an Airedale Terrier including surgical management, short-term outcome, and review of the literature.Methods: A five-year-old male Airedale Terrier with signs of chronic spinal pain and right hindlimb muscle fasciculation was diagnosed with a Schmorl's node with computed tomography. Repeat imaging performed two months later identified enlargement of the defect in the seventh lumbar vertebra (L7) and herniation of the lumbosacral disc into the spinal canal.Results: Dorsal laminectomy and discectomy were performed and the defect was treated with curettage and stabilization of the L7 and first sacral vertebra disc space with pins and bone cement. Immediately postoperatively, the patient had proprioception deficits in the hindlimbs and decreased right patellar reflex. Over the next four months the dog's neurological condition improved and no neurological or gait deficits were present six months postoperatively.Clinical significance: Schmorl's node may be a cause of signs of chronic pain in dogs. Successful management may be achieved surgically, although in the case reported here, recovery was prolonged. To the authors' knowledge, this is the first report of progressive enlargement of a Schmorl's node in a dog.

2010 ◽  
Vol 23 (04) ◽  
pp. 266-272 ◽  
Author(s):  
R. Dennis ◽  
T. J. Gemmill ◽  
A. I. C. Renwick

SummaryThis report describes a case of lumbosacral discospondylitis in a two-year-old boxer dog. The dog had been presented with chronic hindlimb lameness and signs of lumbar spinal pain. The diagnosis was confirmed with a magnetic resonance imaging scan and positive blood culture. Following unsuccessful conservative management, the dog was treated with surgical stabilisation using screws and polymethylmethacrylate, and implantation of a gentamicin-impregnated collagen sponge into the L7-S1 disc space. This technique has not previously been described. The dog had a successful long-term outcome with complete resolution of clinical signs


2020 ◽  
Author(s):  
Yaoshen Zhang ◽  
Peng Yin ◽  
Jincai Yang ◽  
Yong Hai

Abstract Background : The Schmorl's nodes (SNs) is defined as the herniation of the intervertebral disc into the vertebral body. Endplate fractures around the schmorl's node could result in severe back pain that is similar to vertebral compression fractures. The objective of this study was to prospectively analyze the surgical effectiveness and safety of percutaneous vertebroplasty (PVP) for endplate fractures around the SNs. Methods : Seventy-one consecutive patients with the fresh endplate fracture around SNs from October 2017 to February 2018 were enrolled in this study. The visual analog scale (VAS) and Oswestry disability index (ODI) scores of low back pain were evaluated in all patients preoperatively, postoperatively, and at 1 month, 6 months, and 1 year after primary single level PVP . Surgery related data including duration of the operation, injected cement volumes and surgical complications were recorded. Results : Sixty-five patients with fresh endplate fractures around the SNs were treated successfully via percutaneous vertebroplasty. Our study showed that the VAS scores and ODI scores of patients were obviously improved after operation. Cement leakage into the disc space occurred in 5 patients (7.7%), and adjacent segment refractures occurred in 2 patients (3.1%). No other surgical complications, including infections or nerve root injuries were encountered. Conclusions : Based on the results of this prospective study, PVP was an effective and safe procedure for endplate fractures around the SNs.


2012 ◽  
Vol 2 (3) ◽  
pp. 159-167 ◽  
Author(s):  
Konstantinos N. Paterakis ◽  
Alexandros G. Brotis ◽  
Efthimios Dardiotis ◽  
Georgios M. Hadjigeorgiou ◽  
Theofilos Karachalios ◽  
...  

2020 ◽  
Author(s):  
Yaoshen Zhang ◽  
Peng Yin ◽  
Jincai Yang ◽  
Yong Hai

Abstract Background: The Schmorl's nodes (SNs) is defined as the herniation of the intervertebral disc into the vertebral body. Endplate fractures around the schmorl's node could result in severe back pain that is similar to vertebral compression fractures. The objective of this study was to prospectively analyze the surgical effectiveness and safety of percutaneous vertebroplasty (PVP) for endplate fractures around the SNs. Methods: Clinical data and medical records of 65 patients with the fresh endplate fracture aroud SNs who underwent single level (PVP) from October 2017 to February 2018 were enrolled in this study. The visual analog scale (VAS) and Oswestry disability index (ODI) scores of low back pain were evaluated in all patients preoperatively, postoperatively, and at 1 month, 6 months, and 1 year after primary surgery. Surgery related data including duration of the operation, injected cement volumes and surgical complications were recorded. Results: Sixty-five patients with fresh endplate fractures around the SNs were treated successfully via percutaneous vertebroplasty. Our study showed that the VAS scores and ODI scores of patients were obviously improved after operation. Cement leakage into the disc space occurred in 5 patients (7.7%), and adjacent segment refractures occurred in 2 patients (3.1%). No other surgical complications, including infections or nerve root injuries were encountered. Conclusions: Based on the results of this prospective study, PVP was an effective and safe procedure for endplate fractures around the SNs.


2017 ◽  
Author(s):  
Ilknur Surucu Kara ◽  
Altan Calmasur ◽  
Zerrin Orbak ◽  
Erdal Karavas ◽  
Mehmet Soyturk

Author(s):  
Rachyl M. Shanker ◽  
Miri Kim ◽  
Chloe Verducci ◽  
Elhaum G. Rezaii ◽  
Kerry Steed ◽  
...  

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii367-iii367
Author(s):  
Nongnuch Sirachainan ◽  
Attaporn Boongerd ◽  
Samart Pakakasama ◽  
Usanarat Anurathapan ◽  
Ake Hansasuta ◽  
...  

Abstract INTRODUCTION Low grade glioma (LGG) is the most common central nervous system (CNS) tumor in children accounted for 30–50%. Regarding benign characteristic of disease, surgical management remains the mainstay of treatment. However, surgical approach is limited in some conditions such as location at brainstem or infiltrative tumor. Chemotherapy and radiation treatments have been included in order to control tumor progression. The 5-years survival rate is approach 90% especially in patients who receive complete resection. However, the outcome of children with LGG in low to middle income is limited. Therefore, the aim of the study was to determine long-term outcome of children with newly diagnosed LGG. METHODS A retrospective study enrolled children aged <18 years who were newly diagnosed LGG during January 2006- December 2019. Diagnosis of LGG was confirmed by histological findings of grade I and II according to WHO criteria. RESULTS A total of 40 patients, female to male ratio was 1:1.35 and mean (SD) for age was 6.7 (4.0) years. The most common location was optic chiasmatic pathway (42.5%), followed by suprasellar region (25.0%). Sixty percent of patients received at least partial tumor removal. Chemotherapy and radiation had been used in 70% and 10.0% respectively. The 10-year progression free survival was 74.1±11.4% and overall survival was 96.2±3.8%. SUMMARY: Treatment of Pediatric LGG mainly required surgical management, however, chemotherapy and radiation had been used in progressive disease. The outcome was excellent.


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