51years old lady. Case of hypertension hypothyroid, compressive cervical myelopathy. With type 2 respiratory failure. Chief Complaints Difficulty in rolling, and difficulty in supine to sit, pt unable to sit Vitals BP- 130/80mmHg, with medication. SPo2- 98% in room air. Physical Examination Upper limb muscle power 1+/5 b/l.. lower limb muscle power hip flexors 2/5, hip extnsors 1/5

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