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Review Question - QID 213083

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QID 213083 (Type "213083" in App Search)
A 65-year-old patient with a history of spinal stenosis presents with worsening right leg pain and weakness for eight months. Physical exam reveals weakness with great toe extension. The patient has attempted NSAIDs and physical therapy with a limited improvement of symptoms. Figures A and B are the flexion and extension lateral radiographs of the lumbar spine. Figure C is the axial T2 MRI slice at L4-5. What is the most definitive treatment for this diagnosis?
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