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Question #26Spine
MRI looks terrible, patient looks fine — when do you operate on lumbar disc prolapse?
Asked 6 hours agoActive 6 hours ago
A patient has a large L4–5/L5–S1 disc extrusion on MRI but pain is improving, power is preserved and there are no red flags. How much weight do you give the MRI appearance itself? Apart from neurological deficit, what makes you recommend earlier surgery?