Feature Question

(OBQ13-93) A 40-year-old woman with history of intravenous drug abuse and ongoing Staphylococcus aureus septicemia is referred for intractable neck pain with radiation down her arm. She also complains of progressive hand weakness. Examination reveals long tract signs in the lower extremities. Her MRI scan is shown in Figure A. Besides intravenous antibiotics, what is the most appropriate next step in treatment? REVIEW TOPIC
FIGURES: A          

1. Percutaneous CT guided aspiration, hard cervical orthosis until bony union.
2. Percutaneous CT guided aspiration, hard cervical orthosis, repeat aspiration at 6-12 weeks followed by anterior corpectomy and fusion if repeat aspiration is sterile.
3. Anterior cervical debridement and anterior corpectomy without instrumentation
4. Posterior cervical debridement and instrumented posterior fusion.
5. Anterior cervical debridement, corpectomy and fusion followed by a posterior instrumented stabilization procedure