[aibericoh]

Hello Annapurna, many thanks for your message. I am sorry for my late response, but I had covid19 and my recovery process was a bit tough (during weeks). Yes, I have considered a hybrid procedure which can avoid potential problems with my joints (sacroiliac joints, hips and knees). Actually, my knees are hurting a lot, worse than before. However, Dr. Ferrández told me that an ADR solution could generate more instability and according to his view, he would prefer to go through a two-level fusion (L4/L5-L5-S1). I will start again asking other spine doctors abroad.