Faccia, K. J. and Williams, R. (2008). Schmorl's nodes:. Internat J Osteoarchaeol 18 (1). Vol 18(1), pp. 28-44.

Title
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Title:
Schmorl's nodes:
Subtitle
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Subtitle:
clinical significance and implications for the bioarchaeological record
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Internat J Osteoarchaeol 18 (1)
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International Journal of Osteoarchaeology
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18 (1)
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Page Start/End:
28 - 44
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The authors argue that, although back pain is a major contributor to disability and loss of productivity in modern populations, osteological correlates of back pain are often absent or, as yet, unidentified, and that, as bioarchaeologists depend on osteological evidence to interpret quality of life in the past, back pain is largely overlooked in archaeological samples. The study explorese the relationship between a defined vertebral osteological lesion, the Schmorl's node, and its effect on quality of life in a clinical population. Using patient insight, healthcare practitioner diagnoses and MR imaging analyses, this study investigates: (1) Schmorl's nodes and sociodemographic factors; (2) the number, location and quantitative aspects (e.g. length, depth, area) of Schmorl's nodes, and how these influence the reporting of pain; (3) the dynamic effects of Schmorl's nodes, in combination with other variables, in the reporting of pain; and (4) the perception and impact of pain that patients attribute to Schmorl's nodes with regard to quality-of-life issues. The results of the study indicate that Schmorl's nodes located in the central portion of the vertebral body are significantly associated with patient reporting of pain, and that the presence of osteophytes, in the affected vertebral region, may increase the likelihood that an individual will report pain. This finding provides bioarchaeologists with an osteological correlate to begin interpreting the presence and impact of pain in archaeological populations, with implications for scoring Schmorl's nodes.
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K J Faccia
R C Williams
Year of Publication
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Year of Publication:
2008
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BIAB (The British & Irish Archaeological Bibliography (BIAB))
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URI: http://www3.interscience.wiley.com/journal/114286696/abstract
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27 Aug 2008