Which scenario is an indication for surgical intervention in spine degenerative disease?

• A. Mild back pain responsive to NSAIDs
• B. Progressive neuro deficits
• C. Stable canal stenosis without myelopathy
• D. Pain relieved by rest

Answer: (B)

Progressive neurological deficits indicate the need for surgical intervention in degenerative spine disease. When nerve tissue or the spinal cord is increasingly compressed or unstable, ongoing deterioration can occur if you rely solely on conservative measures. Decompressive or stabilizing surgery aims to relieve pressure, restore or maintain neural function, and prevent further decline, often with a chance of improving neurological deficits.

Mild back pain that responds to NSAIDs, stable canal stenosis without myelopathy, and pain that is relieved by rest are typically managed non-operatively unless there is new or worsening neurological involvement.