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
Neurosurgical Experience
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.
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
Patients often describe Dr. Zahos as thorough, compassionate, calm, honest, and clear when explaining complex medical concerns.
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shynell mccallTrustindex verifies that the original source of the review is Google.
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.Posted on Google![]()
Yuderki VilarTrustindex verifies that the original source of the review is Google.
My love everything we talk today .and discuss about my problem..Posted on Google![]()
Miriam OdarTrustindex verifies that the original source of the review is Google.
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
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.
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.
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.
Spondylolisthesis may occur alongside other spine and nerve concerns. A careful evaluation helps determine which finding is actually responsible for the patient’s symptoms.

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.
