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Review Question - QID 4833

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QID 4833 (Type "4833" in App Search)
A 56-year-old male presents to your office with a primary complaint of pain in his lower back that extends down his left leg when he walks. He states he rides a stationary bike without pain, but he has severe pain walking more than two blocks. On exam he has 5/5 strength in all major muscle groups, and his sensation is intact to light touch in all dermatomes. He has no upper motor neuron signs. The pain has been going on for about a year, and he has had no improvement with physical therapy or anti-inflammatory medication. Figure A is an upright lateral radiograph of his lumbar spine. Figures B is his sagittal MRI, and Figure C is an axial image through L4/5. Assuming this patient is going to undergo surgery, what is most important in ensuring longterm symptomatic relief?
  • A
  • B
  • C
  • A
  • B
  • C
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