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If you have Grade 4 anterolisthesis it means 100% slippage.Slippage of the disks in your lower back, in plain terms, means the lower spine is curved out too much (spondylolisthesis) and is making the nerves not fuse.This means the spondylolisthesis worsens with time and may cause spinal stenosis.
The treatments are: physical therapy, or chiropractic and wearing support (corset) for grade 1 and 2.
If your back is bad wether it's 1, 2, 3, or 4, you could have surgery, but surgery for spondylolisthesis does not commonly result in good news.
Degenerative spondylolisthesis usually occurs in the lumbar (low back) spine, more commonly at L4-L5 (4th and 5th lumbar vertebral levels).
Spondylolisthesis can result from degenerative changes in the vertebral structure that causes the joints between the vertebrae to slip forward and may lead to spinal stenosis.
When nerves don't fuse it produces pain and then it projects to the hips and legs.