Objective To analyze the value of image post-processing techniques of 320-slice CT and MRI in diagnosing congenital spinal deformity.Methods 16 children who was sufferred by congenital spinal deformity were learned by retrospective and comparative analysis.Results Spinal deformity is an complex 3D deformity.It cannot be seen clearly by plain film radiography.320-slice CT and MRI can show the variation distribution,variation and pathological changes of canalis spinalis.Conclusions Image post-processing techniques of 320-slice CT and MRI is important for diagnosing congenital spinal deformity,examination before operation is necessary.The iconography is helpful for the formulation of surgical programme.