[annapurna]

One thing I'd add to Sara's post: what direction and how fast are you progressing? If you can feel that your capabilities fell off a cliff and are just getting smaller and smaller every day while your pain levels are shooting up, that might drive you to take action now compared to what you might do if your capabilities and pain levels have been more or less unchanging.

Another comment, obviously this board is ADRSupport not FusionSupport so you're going to see more people trending towards ADR over fusion. You have a lot going on in your lumbar spine; you might need to get a hybrid fusion/ADR or even multiple fusions to deal with what you have. There's a lot of information here and other boards about the risks associated with fusions and, though you'll have to look harder, the risks associated with getting an ADR when your back really needed a fusion. Don't be too negative about fusions until you talk with at least one but preferably several competent ADR surgeons and understand if ADR will work for you.