A previously healthy 45 years old laborer suddenly develops acute lower back pain with right-leg pain and weakness of dorsiflexion of the right great toe. Which of the following is true:

A. Immediate treatment should include analgesics muscle relaxants and back strengthening exercises

B. The appearance of the foot drop indicate early surgical intervention

C. If the neurological sign resolve within 2-3 weeks but low back pain persists, the proper treatment would include fusion of affected lumbar vertebra

D. If the neurological signs fail to resolve within 1 week, lumbar laminectomy and excision of any herniated nucleus pulposus should be done

Correct Answer: The appearance of the foot drop indicate early surgical intervention

Description: (b) If the neurological signs fail to resolve within 1 week, lumbar laminectomy and excision of any herniated nucleus pulposus should be done- Bowel bladder involvement, increasing neurological deficit or failure of conservative treatment is an indication for surgery. Exercises are contraindicated acute pain and 6 weeks of trial is advised before carrying out surgical intervention.

Category: Orthopaedics

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