Two months back, my father had severe back pain in lower region followed by gas formation. He used to have this pain after waking up from sleep in the morning. MRI done revealed destruction of D9/D10 verbetral bodies and intervening disc with large epidural collection severely stenosing the spinal cord, compressing the thecal sac and spinal cord. Mild prevertebral and bilateral paravertebral collection is also present. The destroyed vertebral bodies revealed altered marrow signal appearing hypointense on T1 weighted images and hyperintense on STIR sequences. Pedicles of involved vertebrae reveal evidence of marrow endema. Modic type II end plate changes are present at multiple levels. Rest of intervertebral disc spaces are mantained. However dessication of nucleus pulposus is present at all levels appearing hypointense on T2 weighted images. No Significant disc bulge/herniation is seen. Appearance is suggestive of spondylodiskitis likely to be tubercular. On comparison to previous MRI scan the epidural collection has increased. Two months have passed by and I am concerned by the increase in epidural collection. Is it advisable to go for surgery under such conditions? Please suggest.