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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for anterolisthesis l3 on l4

Mri shows subtle grade 1 anterolisthesis of L3 on 4 secondary to moderate right and severe left facet arthropathy. Pseudodisc of listhesis along with facet arthropathy indents the thecal sac resulting in mild left foraminal narrowing and narrowing of the left lateral recess with abutment of the exiting left L3 and descending L4 nerve roots. Could any of my existing condition been worsened with work injury of wall form falling on me and dtarting to crush torso?
Fri, 8 May 2015
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Neurologist, Surgical 's  Response
Hi and thanks for using HCM.

I have read your question and understand your concerns.

Spondylolysthesis is evaluated better with plain radiographs of your lumbar column, standing and in flexed, extended body position.

MRI is done laying, so it doesn't assess correctly the degree of listhesis and instability.

Lifting weights, getting obese, fatigue at work, falling, all these worsen your condition.

The treatment is decided ( conservative or stabilization surgery ) after correct assessment of listhesis and instability.

Hope this helps. If you have further questions, feel free to ask.

Wishing you good health.
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