Hi,
thank you for providing the brief history of you.
As you are having C 3 level compression
fracture and C 4-5 crush fracture, you need a thorough clinical neurological assessment. If there are any neurological findings the
MRI reports will be compared to the clinical neurological findings.
Also, planning for the surgery will be totally clinically assessment induced. If there are cord compression which are leading to the weakness and
paralysis of the
limbs than the surgery can be planned. Also, replacement of the disc at this levels is little difficult and fusing the neck bone is also difficult since the bone already have a fracture too.
In my clinical practice , such cases require a thorough clinical examination and a discussion with the panel of surgeons to reassess the prognosis of the condition.
For the pain management there will be an option to try out depending upon the severity of the pain. Also i will recommend you to take a complete neurological clinical assessment and post which the neuro surgeon will have an opportunity to discuss further with colleagues to make a possible help towards you.
Regards
Jay Indravadan Patel