Diagnostic value of zonography and coronary computed tomography in upper spinal disease and injuries

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Abstract

The diagnostic potentialities of coronary computed tomography (CT) (23 patients) and zonography (25 patients) were evaluated by analyzing the results of examinations. Zonography is largely indicated in limited mobility of the neck. Coronary CT requires sufficient cervical mobility. The latter method has a high resolution and allows one to diagnose abnormalities undetectable during routine X-ray examination. Zonography and coronary CT substantially elevate the quality of diagnosis in various injuries and diseases of the upper spine.

About the authors

S. T. Vetrile

Priorov Central Institute of Traumatology and Orthopedics

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

S. V. Kolesov

Priorov Central Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Moscow

A. K. Morozov

Priorov Central Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Moscow

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Zonogram of the upper cervical spine in a patient with chronic rotational subluxation of the atlas: asymmetric position of the medullary process and mismatch of the articular surfaces of the lateral atlantoaxial joints are determined.

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3. Fig. 2. Coronal computed tomogram of a child with dysplasia of the upper cervical spine: asymmetric position of the dentition combined with its tilt, orientation of the articular slits of the lateral atlanto-occipital and atlantoaxial joints at different angles are seen.

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4. Fig. 3. Coronary computed tomogram of a patient with upper cervical spine anomaly: we can see fusion of the atlas with the occipital condyles, deformity of the dentate process, irregular shape of the lateral masses of the atlas, different level of location of the lateral atlantoaxial joints.

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