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Surgical treatment for degenerative spondylolisthesis is typically considered when conservative therapies fail to alleviate persistent and debilitating neurological symptoms, such as radiculopathy or neurogenic claudication, or in cases of progressive instability. The primary goals of surgery are to decompress the compressed neural elements and stabilize the affected spinal segment to prevent further slippage and pain. Common procedures involve a decompressive laminectomy or laminotomy to relieve pressure on the nerves, almost invariably followed by spinal fusion. Fusion techniques often include an instrumented posterolateral fusion using pedicle screws, or an interbody fusion (such as a Transforaminal Lumbar Interbody Fusion – TLIF, or Posterior Lumbar Interbody Fusion – PLIF) with cages to restore disc height and provide robust segmental stability. Visit - Spondylolisthesis Treatment NJ
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