脊椎结核疾患比较常见。胸椎体结核自发融合时若读片不认真,可导致序列判定错误和误诊。本文报道1例。1病例35岁女性,双下肢酸困伴间歇双手酸胀、活动笨拙3年。当地颈椎MRI示颈静脉切迹平T2上界(见图1a),腰椎MRI示逆向第7游离椎楔变(见图1b)。诊断为T11陈旧骨折,转入本院。患者 Spinal tuberculosis is more common. Chest vertebral tuberculosis spontaneous fusion if the reading film is not serious, can lead to wrong decisions and misdiagnosis of the sequence. This article reports a case. A case of 35-year-old female, double-limb pain with acid intermittent soreness, clumsiness 3 years. Local cervical MRI showed jugular incision level T2 upper bound (see Figure 1a), lumbar MRI showed retrograde 7th free vertebral wedge change (see Figure 1b). Diagnosis of T11 old fractures, transferred to our hospital. patient