A 75-year-old male patient complaining extreme pain B/L arm with axilla and radiating up to the elbow and sometimes scapular border. The patient is already on treatment Pregabalin 75 (4 tabs a day), paracetamol+diclofenac & tab acetaminophen thrice a day. But still no improvement at all.
Finally, recommend MRI and finding tuberculosis spondylo dikitis with partial collapse D3 -D4 vertebral body, focal canal stenosis and multiple level oateophyte. What is the best management, conservative or surgical procedure?
