We have $\sqrt{4 -4a + a^2} = \sqrt{(a-2)^2}= | a- 2 | $
as $a < -2 $ so $\sqrt{4 -4a + a^2} = 2 - a$
Further we have $\sqrt{4 + 4a + a^2} = \sqrt{(a+2)^2}= | a + 2 | $
as $a < -2 $ so $\sqrt{4 -4a + a^2} = - 2 - a$
adding we get $\sqrt{4 -4a + a^2} + \sqrt{4 + 4a + a^2}= - 2a$
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