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Dynamic Chiropractic – November 1, 2021, Vol. 39, Issue 11

Lumbar Instability: The Case of the Missing Spondylolisthesis

By K. Jeffrey Miller, DC, MBA
The routine radiograph was taken with the patient standing, bearing his body weight. In that position, gravity assists the unstable L4 segment in moving anteriorly. The MR scan was taken with the patient supine, bearing a much lower degree of body weight. Gravity is less of a factor here, and the L4 segment moves posteriorly, closer to its normal position. 

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