Spondylolisthesis Treatment in Paramus, NJ

Spondylolisthesis treatment in Paramus, NJ, starts with understanding how spinal instability affects your pain, movement, and daily life. Dr. Peter A. Zahos reviews your symptoms and imaging before recommending a personalized course of care.

Conservative First
Treatment Approach

Surgery Only
When Medically Necessary

30+ Years

Neurosurgical Experience

Experienced Care for Spondylolisthesis in Paramus

Spondylolisthesis can involve lower back pain, spinal instability, nerve compression, or symptoms that travel into the legs. The right plan depends on more than the appearance of the spine on an image. Dr. Zahos considers your symptoms, examination, imaging, function, and response to prior care.

Dr. Zahos is board certified by the American Board of Neurological Surgery and has more than 30 years of neurosurgical experience. His background includes leadership positions at Cleveland Clinic Florida, JFK Medical Center, Geisinger Health System, and Jacobi Medical Center.

Patients can meet Dr. Peter A. Zahos to learn more about his training, academic appointments, and approach to complex spine conditions.

A Patient’s Experience With Dr. Zahos

One patient described being thoroughly satisfied with Dr. Zahos’s bedside manner and the comprehensive way he explained the procedure. The patient also described surgery coordinator Kerry as an exceptional professional and caring individual.

This experience reflects the importance of clear guidance when a patient is considering treatment for a spinal condition. Patients should understand the diagnosis, available options, and reasons behind a recommendation before deciding how to proceed.

“Dr. Zahos provided excellent bedside care and explained the procedure clearly and thoroughly. His surgery coordinator, Kerry, was also exceptionally professional and compassionate.” — Miriam Odar

Feedback From Level One Neurosurgery Patients

Patients often describe Dr. Zahos as thorough, compassionate, calm, honest, and clear when explaining complex medical concerns.

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shynell mccall
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I had a great experience with this doctor. He explains everything in a way that’s easy to understand, which I truly appreciate. Not only is he highly knowledgeable in his field, but he also takes the time to guide you through what to expect next and makes sure you understand the treatment plan. His professionalism, patience, and willingness to answer questions made me feel informed and confident in my care. I highly recommend him.
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Yuderki Vilar
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My love everything we talk today .and discuss about my problem..
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Miriam Odar
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I am thoroughly satisfied with Doctor Zahos’ bedside manner and his comprehensive explanation of the procedure. Additionally, his surgery coordinator, Kerry, is an exceptional professional and caring individual

A Focused Spine Evaluation on Route 17 in Paramus

Level One Neurosurgery sees patients at 140 Route 17 North, Suite 255, in Paramus. The office serves people from Northern New Jersey as well as patients traveling between New Jersey and New York for a neurosurgical evaluation or formal second opinion.

Paramus has a sizable older adult population, making changes in walking, balance, strength, and independence especially important concerns during a spine evaluation. Rather than treating an imaging result by itself, Dr. Zahos considers how the condition affects movement, work, household responsibilities, and everyday function.

With a spine surgeon in Paramus, patients receive academic-level neurosurgical experience in a personalized private-practice setting. Imaging such as MRI, CT, or X-ray may be reviewed when clinically appropriate to help connect the spinal findings with the symptoms the patient is experiencing.

Treatment Options Connected to Spondylolisthesis Care

Treatment is selected according to the degree of instability, the symptoms present, and how much the condition interferes with function. Surgery is considered only when Dr. Zahos determines it is medically necessary.

Spinal Fusion Surgery

When movement between vertebrae is contributing to instability and symptoms, spinal fusion surgery may be considered to stabilize the affected area. Dr. Zahos explains why fusion may or may not be appropriate for the individual patient.

Lumbar Spine Surgery

When spondylolisthesis affects the lower spine, lumbar spine surgery may be evaluated as part of the treatment plan. The recommended procedure depends on the anatomy, nerve involvement, imaging findings, and functional limitations.

Minimally Invasive Spine Techniques

When surgery is necessary and the condition is suitable, Dr. Zahos may use minimally invasive spine surgery techniques. The surgical approach is chosen for the patient’s specific anatomy and treatment needs.

Symptoms and Conditions Assessed With Vertebral Slippage

Spondylolisthesis may occur alongside other spine and nerve concerns. A careful evaluation helps determine which finding is actually responsible for the patient’s symptoms.

Spinal Instability

Instability can affect how the spine handles movement and weight. Dr. Zahos reviews the patient’s imaging and function to determine whether instability requires surgical treatment.

Lower Back Pain

Back pain has many possible causes. The presence of spondylolisthesis on imaging does not by itself prove that it is the source of the pain.

Nerve Compression and Radiculopathy

A shifted vertebra may occur with pressure on a spinal nerve. Patients may experience pain, numbness, tingling, or weakness depending on the nerve involved.

Sciatica

Sciatica describes symptoms that follow the sciatic nerve into the buttock or leg. The evaluation focuses on whether spinal instability or another lumbar condition is causing the nerve irritation.
Cervical spine evaluation for neck pain and nerve symptoms

Imaging and Technology Used to Plan Spine Care

Dr. Zahos may review MRI, CT, X-ray, or EMG/NCS findings when clinically appropriate. These studies are considered alongside the examination, symptoms, and changes in function.

When surgery is recommended, available capabilities include navigation-guided and robotic-assisted spinal instrumentation, advanced lumbar fusion techniques, and minimally invasive approaches. Technology supports the treatment plan; it does not replace individualized medical judgment.

Neurosurgery insurance and payment options

Understanding Insurance for Your Paramus Evaluation

The office can provide information about insurance benefits, appointment requirements, and expected payment responsibilities. Contact Level One Neurosurgery before your visit so you can understand the applicable details for your plan.

Spondylolisthesis Treatment Near You: Common Questions

These answers address common concerns patients bring to a spondylolisthesis evaluation in Paramus.

Does spondylolisthesis always require surgery?

No. Dr. Zahos uses a conservative-first approach and recommends surgery only when medically necessary. The decision depends on symptoms, imaging, examination findings, instability, and the effect on daily function.
Bring relevant imaging and medical records available to you, along with information about your symptoms and prior treatment. Dr. Zahos reviews the available clinical information to develop an individualized plan.
He considers the location and degree of instability, nerve involvement, symptoms, imaging, function, and response to prior care. Patients receive an explanation of why fusion is or is not being recommended.
Yes. Level One Neurosurgery provides formal second-opinion evaluations. Dr. Zahos can review the diagnosis, imaging, symptoms, and proposed treatment so you can make a more informed decision.
The cost depends on the evaluation, imaging needs, and treatment recommended. Pricing is not published. Contact the office for information about insurance benefits and payment responsibilities.

Get Clarity About Your Brain or Spine Condition

Meet with board-certified neurosurgeon Dr. Peter A. Zahos for a personalized evaluation, imaging review, or trusted second opinion.
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