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Review Question - QID 3757

Thoracic Disc Herniation Treatment Operative QID: 3757 (SBQ12SP.59)
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QID 3757 (Type "3757" in App Search)
A 47-year-old woman presents to the emergency room with acute back pain of 3 days duration. She states that she has been having difficulty walking and describes lower extremity weakness. On physical exam, she has 3/5 strength in her hip flexors, and knee extensors and flexors. She has 2/5 right ankle dorsiflexion and plantarflexion and 1/5 left ankle dorsiflexion and plantar flexion. Patellar reflexes are 3+ bilaterally, and there is clonus with ankle dorsiflexion. She has a normal upper extremity exam. Figures A and B demonstrate the results of her spine MRI. Which surgical approach for thoracic disc removal is associated with the greatest neurologic morbidity?
  • A
  • B
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  • A
  • B