Review Question - QID 8789

Figure A shows the upright lumbar radiographs of a 56-year-old patient with a history of substance abuse and bipolar disorder who fell down 6 stairs onto his back at home while intoxicated. In the ED, he reports continued back pain, but has been able to ambulate. On exam, he has normal sensation and motor function in his lower extremities. Rectal tone and peri-anal sensation are intact. A CT and MRI are obtained, which are shown in figures B and C, respectively. Which of the following treatments will provide the lowest risk of complications and residual back pain?