Report basically says the findings were there in 2011. Why is someone now recommending surgery, or has it been recommended since 2011 or even before that?
Some US surgeons don't recommend ADR beyond a certain age. Some US surgeons are not keen on multi level ADR and from reading your report, there are multiple levels involved. Those might be the reasons they have not recommended ADR.
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Right C6 facetectomy (foraminotomy) 09/24/2015
2 level ADR C5-C7 with Prestige LP 01/09/2017
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