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2235 Orthopaedics

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:

AImmediate treatment should include analgesics muscle relaxants and back strengthening exercises
BThe appearance of the foot drop indicate early surgical intervention (Correct Answer)
CIf the neurological sign resolve within 2-3 weeks but low back pain persists, the proper treatment would include fusion of affected lumbar vertebra
DIf the neurological signs fail to resolve within 1 week, lumbar laminectomy and excision of any herniated nucleus pulposus should be done