Know when to say when!
Deemzee,
From my personal experience, knowing when is more related to severity of symptoms. I have lost strength in my arm and hand and my pain is progressing, so I know its time to act. Your doctor is probably saying that as your disease progresses, you will begin to experience increased pain and loss of function. If it is severe, you will need emergency surgery (ie: loss of bladder control or ability to stand or use arms,etc). If it is not life threatening stuff, like increased pain or weakness, you will know that you need to start considering surgery.
My experience with fusion at C5-7 is that I would never suggest it to someone else. Go with a disc replacement when the time comes.
Also, consider a second opinion from one of the worlds best surgeons--most of the Europeans do that evaluation by internet for free; and they have alot more experience with multilevel surgeries.
Best of luck!
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Mid 2009: Herniated C3-4 and C5-C7
July 2010: ACDF C5-7 at Johns Hopkins
March 2011: Herniated C4-5 and C7-T1
October 2013: Herniated 2 lumbar discs
Now: Radiculopathy with hand atrophy and occasional back pain! Need ADR but UHC refuses to pay.
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