Conclusion: The differences in the signal features, destruction of vertebral body, the conformation and signal of paravertebral mass are helpful in differentiating diagnosis.

• 结论根据病变的信号特点及椎体骨皮质破坏情况及椎旁组织形态及信号差异，椎间盘破坏情况可较明确做出两者的鉴别诊断。