Grd II Deg spondylolisthesis with IDR

Or This One?
Grd I DS with rotation and angular collapse

The Second One Has Symptoms, The First One Does Not

•Use images to consider what symptoms could occur (think backwards) but never speculate on image symptom generation without a through history and physical examination first.
•The first is a patient I have been following for 20 years without change in slip or any evidence for LBP or radiculopathy

The second one has severe RLE pain with standing

  • Has severe foraminal stenosis from the degenerative spondylolisthesis, rotary listhesis and foraminal collapse on the right
  • Patient cannot stand for more than 5 minutes without severe RLE pain and is developing tibialis anterior weakness (foot drop)
  • Would the EHL be involved?
  • No because this is the L4 nerve