Hello everyone! I have never before joined a forum or did anything like this but I am unsure on what decision I need to make concerning my spine health, so any help will be greatly appreciated. A little back story. I was diagnosed with grade 3 Spondylolisthesis when I was younger. I always had chronic low pain and was never able to stand up straight. The doctors believe I developed this condition because of my abnormal anatomy of my lumbar spine which is C-shaped. At the age of 15, I underwent my first fusion. Where they took bone graft from my hip and molded it around my L5-S1 like Play-Dough. Apparently it did not fuse at all and was still spongy with bits of it roaming around. So at the age of 17 they decided to try it again. I had less pain but still could not stand up straight. Gradually through out the years the pain increased as well as my disks completely disappearing until they were gone. So around 22 I decided to try alternative methods to treat and help with the pain to try to avoid surgery. Finally after many failed attempts at nerve block shots and many other crazy things, the physician treating me told me I needed to see a surgeon. I got many different opinions and decided that the neurosurgeon that specializes in my condition as well as teaches it would be my best choice. My main goal for this in the end was to not have to take any medication and be able to carry a baby. I can live with moderate pain, I'm a tough cookie, lol. So at age 27 I underwent my 3rd surgery on Dec. 7, 2012. This surgery would require hardware pulling my L5 back into place and caging in the disk space between L5 and S1 with bone graft. The hardware would also be extended to L4 to insure stableness. Surgery of course sucked but I was doing well. But unfortunately, I live in the wonderful Cleveland weather and on January 3rd, I slipped in the snow and fell on my tail bone. I got up right away and thought I was ok, unless it was the pain meds tricking me. But the next couple days were horrific. The caging slipped out from the fall. I could not even stand or put any pressure on my right leg without it feeling like there was a burning rod in the middle of my leg. The sciatic pain went from my right butt cheek all the way thru my foot causing all my leg muscles to spasm uncontrollably. Pretty much a full leg charlie horse. So I called the doctor and they told me to go to the emergency room right away and he did another emergency surgery. He tried to put a bigger cage in to ensure it wouldn't fall out, but the caging was too big and he just used the same one. Waking up and recovering this time was worse. I still woke up with the pain in my leg because my nerve was so inflamed. So now heres where I need help. That last surgery was Jan 4th and its now June. I have been doing physical therapy this whole time but I still get that inflamed pain in my right butt cheek. Luckily it doesn't go pass the middle of my thigh now. I just had one of my follow ups. I get a follow up every 6 weeks since the surgery. They do a couple x-rays and upon my first follow up after the surgery they noticed the caging slipped slightly but has stayed in the same spot since. My surgeon says this could be because of my abnormal anatomy that is not allowing my vertebra to compress the caging properly. So anyway, yesterday was a follow up with him and we discussed that I feel like my spine locks, I feel like sometimes my pelvis feels like its pushed out (like I'm walking like Steve Erkel, like everyone meets my pelvis first, lol) thats what it feels like but when I look in the mirror, I'm standing straight. We also discussed the sciatic pain. I guess the amount of slippage of the cage is still irritating my nerve. I never had sciatic pain before the surgery before Dec. 7th. The dilemma is the doctor wants to try again with the caging. My options at this point are instead of laproscopic, he would open me up from my childhood incision (12 in scar down the lower center part of my spine, kinda mid-back down to my butt crack) and attempt to push the caging back in that way. Or go thru the front, which would be difficult for him because of my anatomy. Or do nothing and stay the way that I am. The difficulty is that if I do nothing my nerve can be permanently damaged and I would have to take meds the rest of my life, don't want to do. And if the fusion hardens and I get worse, it would be hard to get the caging out of the fusion. I am just so incredibly torn. I just got engaged and all I want is to get married and have tons of kids and I cant have kids on pain meds or any meds, I won't do that. But this is a 3rd surgery in 6 months, isn't this extremely dangerous? I asked my doctor if this was his wife or daughter, what would he do? I may have insulted him asking that but I needed to know. He told me that he couldn't live with not trying every option and wondering if he would have done the surgery would it have helped. After that he did tell me that they expected some slippage and when they finished the surgery and they turned me over they did an MRI and it already slipped just then. So if my anatomy is not susceptible to this caging then why wasn't this addressed before Dec. 7th? I just don't know what to do. I am in worse condition now then before the surgery on Dec. 7th. I just want my life back. I wish I never had this surgery now and just dealt with the pain. This surgeon insured me that I would be in less pain and everything is worse now. Please help me I don't know what to do and its tearing me apart. Thanks so much!!