Difference between revisions of "Spine"

From Libre Pathology
Jump to navigation Jump to search
(→‎See also: +link to Schmorl's node)
 
(5 intermediate revisions by the same user not shown)
Line 1: Line 1:
[[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]].


Line 4: Line 5:
*Synovial cyst.
*Synovial cyst.
*Lumbar wound infection.
*Lumbar wound infection.
==General==
*DDx is can be quite large - see ''[[spinal mass]]''.


==Synovial cyst==
==Synovial cyst==
Line 23: Line 27:


==Degenerative disc disease==
==Degenerative disc disease==
:''Vertebral disc'' redirects here.
{{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:
<gallery>
*[[Pathologic fracture]].
Image:Degenerative_disc_disease_-_intermed_mag.jpg | Degenerative disc disease - intermed. mag. (WC)
Image:Degenerative_disc_disease_-_high_mag.jpg | Degenerative disc disease - high mag. (WC)
</gallery>
www:
*[http://radiology.rsna.org/content/245/1/43/F3.expansion.html Degenerative disk disease (rsna.org)].<ref name=pmid17885180>{{Cite journal  | last1 = Modic | first1 = MT. | last2 = Ross | first2 = JS. | title = Lumbar degenerative disk disease. | journal = Radiology | volume = 245 | issue = 1 | pages = 43-61 | month = Oct | year = 2007 | doi = 10.1148/radiol.2451051706 | PMID = 17885180 }}</ref>
*[http://library.aua.edu.ag/webpath/webpath/histhtml/normal/norm004.htm Normal vertebral disc (edu.ag)].


===Sign out===
===Sign out===
<pre>
<pre>
CERVICAL DISC, DISCECTOMY:
L11 VERTEBRA, BIOPSY:
- DISC WITH DEGENERATIVE CHANGES.
- BENIGN FRAGMENTS OF BONE.
- BENIGN FIBROCONNECTIVE TISSUE.
- BONE MARROW WITH TRILINEAGE HEMATOPOIESIS.
- NO EVIDENCE OF MALIGNANCY.
- NO EVIDENCE OF MALIGNANCY.
</pre>
<pre>
LUMBAR DISC, DECOMPRESSION:
- DEGENERATIVE DISC DISEASE.
</pre>
</pre>
==Schmorl's node==
{{Main|Schmorl's node}}


==See also==
==See also==

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.