Indications, options and complications for compressive conditions

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QUESTION 1 OF 2

A 56-year-old plasterer presents with a 3-month history of neck pain. He feels the pain in the mid cervical region in the midline and it is worse after a long days work. He is otherwise well. He has a reduced range of cervical motion which causes him pain but has no upper or lower limb symptoms or signs.
An MRI had been arranged by his GP and shown below, axial image at C5/6
The most appropriate action at this point is?

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QUESTION ID: 1059

1. A. Bilateral C6 nerve root blocks
2. B. C4/5 and C5/6 cervical disc replacement
3. C. C4/5 and C5/6 anterior cervical decompression and fusion
4. D. Onward referral to local pain service
5. E. Reassurance, analgesia and mobilization
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QUESTION 2 OF 2

68.When consenting a patient for spinal surgery, which statement best describes information patients need to know?

QUESTION ID: 3208

1. After posterior cervical decompression, the risk of a C5 nerve palsy is 5%, with a poor prognosis for recovery.
2. Following anterior cervical discectomy and fusion, the incidence of dysphagia is 30%
3. Paralysis is a very rare complication of lumbar surgery and to avoid unnecessarily upsetting the patient does not need to be mentioned.
4. The incidence of dural tears following lumbar discectomy is 7%
5. The overall complication rate for lumbar decompression is around 12%
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