Which finding most strongly indicates urgent MRI and surgical consultation for possible spinal cord compression?

Which finding most strongly indicates urgent MRI and surgical consultation for possible spinal cord compression?

• A. Mild back stiffness for weeks
• B. No neurological symptoms
• C. Progressive neurological deficit
• D. Localized back muscle tenderness

Answer: (C)

Progressive neurological deficit signals that the spinal cord or nerve roots are being compromised, which is the hallmark of potentially urgent spinal cord compression. When neurological function is worsening—such as increasing weakness, sensory changes, or gait disturbance—it demands immediate MRI to locate the compression and prompt surgical consultation to decompress and prevent permanent injury. By contrast, mild back stiffness without neuro signs, no neurological symptoms, or localized back muscle tenderness are musculoskeletal or benign findings and do not by themselves indicate urgent compression.

Progressive neurological deficit signals that the spinal cord or nerve roots are being compromised, which is the hallmark of potentially urgent spinal cord compression. When neurological function is worsening—such as increasing weakness, sensory changes, or gait disturbance—it demands immediate MRI to locate the compression and prompt surgical consultation to decompress and prevent permanent injury. By contrast, mild back stiffness without neuro signs, no neurological symptoms, or localized back muscle tenderness are musculoskeletal or benign findings and do not by themselves indicate urgent compression.