Endgames Anatomy Quiz

Coronal computed tomography of the upper cervical spine

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e6811 (Published 14 December 2012) Cite this as: BMJ 2012;345:e6811

Re: Coronal computed tomography of the upper cervical spine

Coronal computed tomography is better than conventional radiography so at the present time there is an increasing demand for it to assess spinal pathology.

At the Gustavo Aldereguia Lima University Hospital in Cienfuegos city, Cuba, we have twelve years' experience of performing coronal computed tomography of the upper cervical spine in the emergency department and on an outpatient basis. In this study we evaluate the bony structures, paravertebral soft tissue, intervertebral discs and spinal canal doing 2D coronal and sagittal reconstructions and 3D.

Our staff consider coronal computed tomography of the upper cervical spine for the following indications:
- In patients with pathological conventional radiography.
- In patients with negative conventional studies, but clinical suspicion persists.
- In spinal trauma.
- In congenital vertebral bodies.
- In benign and malignant bone tumors.
- In search of lytic bone metastases, blastic or mixed in patients with neoplastic disease.
- In the study of back pain.
- In alterations axes
- In disc pathology.

Competing interests: No competing interests

10 January 2013
Nery M. Diaz Yanes, MD
Radiology Professor in the Radiology Deparment
Masleidy Valladares Valle MD, Thaimi Conde Cueto MD and Moises Santos Peña MD
Gustavo Aldereguia University General Hospital
Ave 5 Sep. and 51-A street. Cienfuegos. Cuba 55100
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