baozi,
It has got to be terribly confusing when you get different signals from different doctors. Each prefers a different method to the same end; fusion at L5/S1. In that sense, they are giving you the same prescription; ADR at L4/5 and fusion at L5/S1. Many sufferers that come to this site get opinions that are all over the map.
I don't know which approach to the fusion is best for your particular case; anterior or posterior. Good luck!
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C4/5 - ACDF in 2000
C5/6 - ACDF in 2002
C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona
Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011
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