You're right about Kaiser, you have to squeak loudly. UCSF did give me the green light for an ADR but I've decided to have a fusion anyway (at Stanford) for a number of reasons, some brought up to me by the Kaiser surgeon. I think, out of all of those with whom I consulted, he took had the broadest perspective and was the least biased.
They didn't do a facet block because the hypertrophy is minimal and also because the L5/S1 disc was a hands-down pain generator and the dye spewed everywhere. That seems to be the ticket.
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Minimal DDD L4/L5
Minimal DDD L5/S1
Disco 4/07 : Large tear: @L5/S1
Idet 4/08 No improvement
Now looking at ADR vs. Fusion
ALIF Fusion 2/10 Stanford
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