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Review Question - QID 211421

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QID 211421 (Type "211421" in App Search)
A 56-year-old male has bilateral buttock pain worsened with walking and relieved when sitting down or leaning forward. His symptoms are severe enough that he is no longer playing golf and remaining active. He has a normal neurologic and vascular exam. He has MRI imaging performed represented in figures A-D. Figure E are his flexion and extension films. He has tried NSAIDs and physical therapy. Epidural injections in the past have provided him temporary relief only. What is the most appropriate next step in management?
  • A
  • B
  • C
  • D
  • E
  • A
  • B
  • C
  • D
  • E
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