ORTHO
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Review Question - QID 7929

Cervical Myelopathy QID: 7929 (SAE12SN.16)
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QID 7929 (Type "7929" in App Search)
A 56-year-old man has had a 2-year history of slowly progressive neck pain and bilateral arm aching. Over the past year, he has noticed intermittent, diffuse numbness in both hands, with decreased grip strength and mild hand clumsiness. He denies any problems with balance. Examination shows a wide-based gait, intrinsic wasting, and a postive Hoffman's sign bilaterally. An MRI scan of the cervical spine is shown in Figure 16. What is the most appropriate treatment?
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