Difference between revisions of "Spine"

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[[Image:Gray_111_-_Vertebral_column-coloured.png|thumb|150px|right|Schematic of the vertebral column. (WC/Gray's Anatomy)]]
Pieces of '''spine''' are seen in [[neuropathology]].
Pieces of '''spine''' are seen in [[neuropathology]].


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*Synovial cyst.
*Synovial cyst.
*Lumbar wound infection.
*Lumbar wound infection.
==General==
*DDx is can be quite large - see ''[[spinal mass]]''.


==Synovial cyst==
==Synovial cyst==
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*If epithelium missing -- then ''[[ganglion cyst]]''.
*If epithelium missing -- then ''[[ganglion cyst]]''.


==Vertebral disc==
===Sign out===
<pre>
WRIST LESION ("GANGLION"), EXCISION:
- BENIGN SYNOVIAL CYST.
</pre>
 
==Degenerative disc disease==
{{Main|Degenerative disc disease}}
 
==Schmorl's node==
{{Main|Schmorl's node}}
 
==Vertebral fracture==
:This deals with ''benign'' vertebral fractures.
===General===
===General===
*Herniated disc cause back pain.
*Usually elderly with [[osteoporosis]].<ref name=pmid24147259>{{Cite journal  | last1 = Sisodia | first1 = GB. | title = Methods of predicting vertebral body fractures of the lumbar spine. | journal = World J Orthop | volume = 4 | issue = 4 | pages = 241-247 | month =  | year = 2013 | doi = 10.5312/wjo.v4.i4.241 | PMID = 24147259 }}</ref>
*May result in ''cauda equina syndrome''.
*Essentially a [[clinical diagnosis]].
*Composed of ''fibrous cartilage''.<ref>URL: [http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Cartilage/Cartil.htm http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Cartilage/Cartil.htm]. Accessed on: 2 January 2010.</ref>
*The pathologist's job is to exclude [[malignancy]].


===Microscopic===
===Microscopic===
Features:
Features:
*Benign fibrous tissue.
*Non-viable bone.
*Nests of chondrocytes (as in immature [[cartilage]]).


Images:
DDx:
*[http://commons.wikimedia.org/wiki/File:Degenerative_disc_disease_-_intermed_mag.jpg Degenerative disc disease - intermed. mag. (WC)].
*[[Pathologic fracture]].
*[http://commons.wikimedia.org/wiki/File:Degenerative_disc_disease_-_high_mag.jpg Degenerative disc disease - high mag. (WC)].


===Sign out===
===Sign out===
<pre>
<pre>
LUMBAR DISC, DECOMPRESSION:
L11 VERTEBRA, BIOPSY:
- DEGENERATIVE DISC DISEASE.
- BENIGN FRAGMENTS OF BONE.
- BENIGN FIBROCONNECTIVE TISSUE.
- BONE MARROW WITH TRILINEAGE HEMATOPOIESIS.
- NO EVIDENCE OF MALIGNANCY.
</pre>
</pre>



Latest revision as of 16:27, 3 May 2016

Schematic of the vertebral column. (WC/Gray's Anatomy)

Pieces of spine are seen in neuropathology.

Common specimens

  • Synovial cyst.
  • Lumbar wound infection.

General

Synovial cyst

General

  • May cause back pain.[1]

Microscopic

Features:

  • Simple epithelium.

Notes:

Sign out

WRIST LESION ("GANGLION"), EXCISION:
- BENIGN SYNOVIAL CYST.

Degenerative disc disease

Schmorl's node

Vertebral fracture

This deals with benign vertebral fractures.

General

Microscopic

Features:

  • Non-viable bone.

DDx:

Sign out

L11 VERTEBRA, BIOPSY:
- BENIGN FRAGMENTS OF BONE.
- BENIGN FIBROCONNECTIVE TISSUE.
- BONE MARROW WITH TRILINEAGE HEMATOPOIESIS.
- NO EVIDENCE OF MALIGNANCY.

See also

References

  1. URL: http://www.spineuniverse.com/conditions/synovial-cysts-spine. Accessed on: 5 November 2010.
  2. Sisodia, GB. (2013). "Methods of predicting vertebral body fractures of the lumbar spine.". World J Orthop 4 (4): 241-247. doi:10.5312/wjo.v4.i4.241. PMID 24147259.