Schmorl nodes

Schmorl nodes are herniations of intervertebral disc tissue into the vertebral body.

Imaging

Schmorl nodes are best evaluated on a sagittal MRI scan. Symptomatic Schmorl nodes are usually acute and differ on MRI from chronic, asymptomatic Schmorl nodes[^1].

Classification of Schmorl nodes based on MRI signal intensity compared with the surrounding bone marrow[^2]:

Schmorl nodes

MRI <b>T1 sequence</b>

MRI <b>T2-weighted sequence</b>

Symptomatic (acute)

Hypointense

Hyperintense

Asymptomatic (chronic)

Hyperintense

Hypointense

Schmorl's nodes MRI
Sagittal T2-weighted image of the lumbar spine showing Schmorl's nodes.
SPECT/CT of Schmorl node
Illustration of an activated Schmorl node on SPECT/CT of the lumbar spine.

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