Stephen,
The surgeon is the one who will decide if the modic changes are too severe to warrant disc replacement. Have you been worked up for Lyme disease or other infections? See this (and others) topic:
http://www.adrsupport.org/forums/sho...odic+infection
Also, when you can:
http://www.adrsupport.org/forums/showthread.php?t=11053
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