ORTHO
BULLETS
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Review Question - QID 211212

Rheumatoid Cervical Spondylitis Basilar Invagination  Treatment QID: 211212 (SBQ18SP.10)
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QID 211212 (Type "211212" in App Search)
A 73-year-old female with a history of rheumatoid arthritis presents to clinic with worsening bilateral upper extremity paresthesias, clumsiness, and weakness. On exam, she has a positive Babinski, intact sensation to light touch, and 4/5 motor in the bilateral upper extremities. Her cervical MRI is shown in Figure A. What is the most appropriate next step in treatment for the upper cervical spine?
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