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When this stress becomes significant, it can cause degenerative spondylolisthesis (anterior displacement of a vertebral segment) with or without spondylolysis (defect in the pars interarticularis), which can contribute to lumbar spinal stenosis

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Higher within normal appears safe and may provide margin against future decline

This is distinct from intradiscal injection, which requires fluoroscopy or ultrasound guidance and must be performed by a qualified medical professional