Hi Cathy
I'm sorry I didn't answer your question earlier~ I am slated for a fusion at L5S1 and ADR at L4 and have also had two discectomies (one at L5 and one at L4).
My thinking on this is to get a few reputable ADR spine surgeons to look at your films and get whatever else is necessary to rule out anything that would exclude one from having ADR as well as making sure that the disc itself is a pain generator (discogram) and then go from there.. I too am not keen of fusing another level tho that's not to say ADR is possible or even successful for everyone depending on knowing as best as one can what the true pain generators are.
Get more opinions~ by the most reputable spine surgeons and if you can, ones not biased by what insurance will pay for only.
good luck, Maria
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