Speaking of off-label here's a winner.
Saw Regan today for f/u and he's suggesting fusion at L5-S1 b/c of too much damage and an ADR at L4-5 (and maybe another level, pending discogram).
I was told that a one-level fusion and one level ADR can be denied in toto by an insurance company b/c that is consided an "off-label" use (the combo procedure which is rather new here). Imagine, being denied for a traditional fusion. Just go back. Dr. B. is looking better and I must self-medicate.