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Grade 1 anterolisthesis from pars (spondylolysis) is not “just back pain.” It is a structural weak link segmental overload, often with facet joint arthritis. 🔹 First line = always: Load control, core hip strengthening, mobility, and weight loss. Most Grade-1 cases improve here. 🔹 When rehab fails (selected cases): Early evidence shows that bone marrow concentrate (BMAC) injected into the pars defect ± adjacent stress bone and facet joints can reduce pain and may promote healing. 📚 Evidence (e
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