Severe spondylosis compresses with subsequent sensory or motor disturbances.
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 67-year-old man comes to the clinic because of neck pain and left arm pain for 3 weeks. He has no history of trauma or upper limb weakness. He is a retired typist. He has type II diabetes and receives metformin twice per day. Physical examination shows limited neck extension and left arm pain with extension and lateral pending of the neck to the left. Neck x-ray shows decrease height of the cervical inter-vertebral discs and multiple bony osteophytes. Which of the following is best next step in management of this patient?