What treatments are recommended when MRI shows 2mm anterolisthesis at C3C4, 4mm anterolisthesis C4C5, C3C4 2mm retrolisthesis and exuberant hypertrophic degenerative changes to left facet responsible for moderate/severe left neural foraminal narrowing. C4C5 shows right eccentric disc osteophyte complex. Please help me make sense of this.
While antero and retro listhesis refer to forward and backward displacement of the vertebrae respectively from their normal position, these being mild-moderate would not require any specific treatment. Foramina are the spaces that carry the spinal nerves. In the absence of actual neural compression, conservative management with rest, anti-inflammatory muscles followed by physiotherapy to improve the muscular strength may be tried; in the presence of neural compression or failure of response to conservative management, surgical/ interventional options may be tried. It would be best to discuss the situation and the suggested management plan in detail with your treating orthopedician.
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