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Review Question - QID 5429

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QID 5429 (Type "5429" in App Search)
A previously healthy 51-year-old male presents with 3 months of progressive upper extremity clumsiness and gait instability. He currently smokes a pack of cigarettes a day. Examination reveals a positive inverted brachioradialis reflex and difficulty with toe-to-heel walking. A flexion and extension radiograph is seen in Figure A, and MR image in Figures B. Of the treatment options listed, which treatment would provide the best functional outcomes?
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  • A
  • B