How about Hybrid Surgery
First of all, 2 level fusion is not necessarily bad. I had lumbar fusion at L3/L4 and L4/L5 in Dec, 2010. I haven't had any lumbar issues since then. My neck is another story. However, why not consider Hybrid surgery? It's one surgery where they do ADR on one level and then fusion on the adjacent one. In your case, they could do ADR at L4/L5 and then fusion at L5/S1.
As you read these boards you'll see many people who have had hybrid surgery, both here in the U.S. and abroad. In the U.S., you have a good chance of getting insurance to pay for this.
Good luck with whatever you decide to do!!
Gene
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Car Accident 2002 - Small Herniated Disc C3/C4
1998 Larger Herniation and Cervical Fusion C3/C4
2005 Herniation C4/C5 - 40 epidural steroid injections from Oct 2005, - Oct, 2007
2008 - Foraminotomy at C6/C7 on left side
Feb, 2010 - Cervical Fusion C4/C5
Dec, 2010 - Lumbar Fusion L3/L5
2013 - Bulge on C5/C6; herniation C6/C7 right side
Mar 26, 2013 - Foraminotomy at C6/C7 on right side
May 5, 2015 - ADR with Dr Blumenthal of TBI for C5/C6 using Mobi-C
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