70 yr old male bedridden for last 1 month with spastic progressive quadriparesis with decreased sensation below c4.Diagnosis.Management?

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Myelomalacia secondary to chronic compression at C5-C6. Thorough neurocharting, emg-ncv to document, since progressive quadriparesis, warrants surgery in form of decompression.
Disc osteophyte complex at C5-6 level causing significant cord compression at this level. Focal T2 hyperintensity noted in spinal cord at this level suggestive of cord edema/ myelomalacia. Mild posterior disc bulge at C4-5 level causing indentation of anterior subarachnoid space.
if PT is quadriperesis start with passive upper and lower limb movement than active assisted than free movement than start with strengthening beidging
cervical spondylitis with compression of spinal cord at C5/6 with altered cord signal intensity at this level suggesting myelitis
ACDF C5-C6WITH CONSENT SURGERY IS TO PREVENT WORSENING. SYMPTOMS MAY OR MAY NOT IMPROVE
cervical spondylitis. compression on the spinal cord at c 5 / 6 level. .
according to patient age most preferred management is physiotherapy.
C5-6 disc with compression of theca , the cord is compressed with myelomalacia Already developed quadriparesis. What about the bowel and bladder functions. If intact early surgery but in view of cord compression and myelomalacia the prognosis is unpredictable .
cervical spondylosis c4/5 and c5/6 posterior disc protrusion indenting on the spinal cord causing focal myelomalacic changes at c5/6 level
C5/6 disc bulge Cord compression Myelomalacia of cord Anterior cervical discectomy and fusion Neurological recovery not assured
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