Spine

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Pieces of spine are seen in neuropathology.

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

Common specimens

  • Synovial cyst.
  • Lumbar wound infection.

Synovial cyst

General

  • May cause back pain.[1]

Microscopic

Features:

  • Simple epithelium.

Notes:

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

Degenerative disc disease

Vertebral disc redirects here.

General

  • Herniated disc cause back pain.
  • May result in cauda equina syndrome.
  • Composed of fibrous cartilage.[2]

Microscopic

Features:

  • Benign fibrous tissue.
  • Nests of chondrocytes (as in immature cartilage).

Images

www:

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CERVICAL DISC, DISCECTOMY:
- DISC WITH DEGENERATIVE CHANGES.
- NO EVIDENCE OF MALIGNANCY.
LUMBAR DISC, DECOMPRESSION:
- DEGENERATIVE DISC DISEASE.

Schmorl's node

Vertebral fracture

This deals with benign vertebral fractures.

General

Microscopic

Features:

  • Non-viable bone.

DDx:

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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. URL: http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Cartilage/Cartil.htm. Accessed on: 2 January 2010.
  3. Modic, MT.; Ross, JS. (Oct 2007). "Lumbar degenerative disk disease.". Radiology 245 (1): 43-61. doi:10.1148/radiol.2451051706. PMID 17885180.
  4. 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.