University Hospital Zurich, Switzerland.
BMC Med Imaging. 2010 Nov 9;10:25. doi: 10.1186/1471-2342-10-25.
Congenital spinal abnormalities can easily be misdiagnosed on plain radiographs. Additional imaging is warranted in doubtful cases, especially in a setting of acute trauma.
This patient presented at the emergency unit of our university hospital after a motor vehicle accident and was sent to our radiology department for imaging of the cervical spine. Initial clinical examination and plain radiographs of the cervical spine were performed but not conclusive. Additional CT of the neck helped establish the right diagnosis.
CT as a three-dimensional imaging modality with the possibility of multiplanar reconstructions allows for the exact diagnosis and exclusion of acute traumatic lesions of the cervical spine, especially in cases of doubtful plain radiographs and when congenital spinal abnormalities like absent cervical spine pedicle with associated spina bifida may insinuate severe trauma.
先天性脊柱异常在平片上很容易误诊。在可疑病例中，尤其是在急性创伤的情况下，需要额外的影像学检查。
该患者在发生机动车事故后到我们大学医院的急诊室就诊，随后被送到放射科进行颈椎影像学检查。进行了初步的临床检查和颈椎平片检查，但结果不确定。颈部 CT 检查有助于明确诊断。
CT 作为一种具有多平面重建可能性的三维成像方式，可以准确诊断和排除颈椎急性创伤性病变，特别是在平片结果不确定和存在先天性脊柱异常（如颈椎椎弓根缺失伴相关脊柱裂）时，可能暗示严重创伤。
