Schmorl Node

Degenerative Endplate Changes

Limbus Vertebra

Anterior Compression Fracture

Lateral Compression Fracture

Scheuermann Disease

Osteomyelitis, Pyogenic

Sickle Cell

Neurogenic (Charcot) Arthropathy

Osteomyelitis, Granulomatous

Cushing Disease

Osteogenesis Imperfecta

Achondroplasia

Mucopolysaccharidoses

Thanatophoric Dwarfism

Spondyloepiphyseal Dysplasia

May be due to trauma, developmental or congenital disorders, degenerative disease or infection

Schmorl Node: Cup-shaped defect in endplate

Degenerative Changes: Osteophytes may elongate or form hook adjacent to endplate

Limbus Vertebra: Small separate corner portion of endplate, well-marginated

Fracture: Angular deformity of endplate, ± visible fracture line

Scheuermann Disease: Undulating endplates 4 or more levels + kyphosis, with or without discrete Schmorl nodes

Osteomyelitis: Endplate erosion, vertebral body destruction, osteopenia or osteosclerosis

Sickle Cell: Depression central portion of endplate (“Lincoln Log”)

Neurogenic Arthropathy: Mimics osteomyelitis; endplate destruction and erosion, nonunited fracture fragments, heterotopic ossification

Osteomyelitis, Granulomatous: Vertebral endplate destruction and deformity, but disc spaces preserved until late; may involve multiple levels; bone fusion and kyphosis

Cushing Disease: C-shaped endplate (“fish mouth”)

Osteogenesis Imperfecta: Variable flattening and deformity due to fractures; severe osteopenia

Achondroplasia, Mucopolysaccharidoses: Anterior beak deformity

Spondyloepiphyseal Dysplasia: Vertebrae flattened but taller in center than at sides