The butterfies' vertebra-diagnostic difficulties - case report.

The hemivertebras constitute about 33% of all congenital defects of spine and can be detected accidentally during diagnostics of pain syndrome of spine or other neurological disturbances. In the paper is introduced the case of patient with pain syndrome of spine (man, physical worker, 47years old), who was directed to the rehabilitation ward with recognition of pathologic fracture of vertebra Th10. In consideration on lack of correlation between radiological pictures and patient's neurological state the diagnostics was extended for 3D CT. CT revealed the presence of development defect of spine. Conducted diagnostics and rehabilitation permitted for improvement of patient's state as well as settlement of principles for further procedures. The necessary verification of diagnosis and diagnostics of patients during inpatient and ambulatory rehabilitation shouldn't be sensation but should constitute standard in contracts with National Health Fund.