I had the following procedure on Jan 10th 2014 Posterior spinal fixation and posterior lateral decortication and fusion at the L4-L5 and S-1 with a structural allograft placement, all under assistance with spinal fluoroscope. My question is this it was ALL done by my pain management physician who is also a anesthesiologist . It has not turned out well as I am having more pain then before surgery and it was done with 2 small incisions on my back. one on left about an inch long and one on right is inch and a half long. He told me during surgery he ran into an anomaly (his words) which was my facet joint on the right side had grown so long it was actually into my hip joint. My concern is he able (legally) to do this surgery with just those credentials and why did he not see that anomaly before hand? ( had several MRI's before surgery) I am hoping someone out there can answer my questions about this surgery( had personal experience with it) and the questions about what kind of credentials are needed for this type of surgery. I have had 2 follow up appointments since surgery and both times I have not seen the surgeon himself but his physician's assistant. I find that odd that he would not be the one following up. I HAVE NEVER HAD THAT EXPERIENCE WITH PAST SURGEONS. They always followed up since they r the ones who did the surgery.... What does anyone else think of this???? Thanks for ANY feedback!!!!