This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Tuberculosis of Bone and Joints, Subject name: Orthopaedics
[{'content': 'All of the following are true about TB Spine except ? \nSelect and explain. \nA. Anterior disease, B. Most common location is dorsolumbar, C. Earliest symptom is pain, D. All cases are managed surgically', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Middle Path Regimen is used - Rest + Anti tubercular therapy + Surgery (if indicated) -Indication of surgery in TB Spine Surgical intervention reserved for following No recovery after a fair trial of ATT(3 to 4 weeks) Neurological deficit stas during the conservative management itself Worsening of neurological deficit on management with ATT Recurrence of neurological complication on ATT Preveebral cervical abscess, difficulty in respiration and deglutition Severe neurological deficit on sta like sphincter involvement or flaccid paralysis.', 'role': 'assistant'}]