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1756 Orthopaedics

A 25-year-old male complaints of pain in lower back region for three months. Has history of slipping of bathroom slippers. Mild weakness of both lower limbs but can walk without support. There is 30% sensory loss and has bladder symptoms. D12-L1 is tender. X-ray shows paradiscal destruction of vertebrae and MRI shows destruction with indentation of thecal sac. Management is:

AWait and watch
BDomiciliary ATT
CAdmit and ATT
DATT and Decompression
Orthopaedics
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