A 84-year-old female living home alone with twice-weekly supportive care visits has been presenting with a 1-year history of increased frequency of falls, bilateral hand clumsiness and numbness, and worsening urinary urgency. MRI of the head and spine rev

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Submitted by Regina on Wed, 03/31/2021 - 11:48
A 84-year-old female living home alone with twice-weekly supportive care visits has been presenting with a 1-year history of increased frequency of falls, bilateral hand clumsiness and numbness, and worsening urinary urgency. MRI of the head and spine reveals spondylotic vertebrae with circumferential compression of the cervical cord at the level of C3/C4 with T2 cord hyperintensity. She otherwise has a history of non-insulin-dependent diabetes, dyslipidemia, hypertension, and a previous history of DVTs not currently on anticoagulation. Which one of the following is the appropriate next step in management?