[annapurna]

I can't say who the best doctor or best ADR for you but I can make some suggestions. With four damaged levels that have been bad for over ten years, you're likely to have some facet damage at at least one level. You'll need a doctor who's willing to offer many different solutions instead of a doc that's dedicated to using a single ADR type. You could easily need a hybrid fusion/ADR, so look for a surgeon who's comfortable doing that. Your recovery is likely to be slow so make sure you have a way to contact your surgeon and discuss the set backs that are going to happen. Assume you'll have them and plan accordingly; they might be minor or they might be major but everyone's going to have them.

Foreign surgeons drive the need to think about travel and support while you're overseas. Local surgeons in your area oblivate that need but may not have the experience to offer you a mixed and tailored solution.