I have always had issues with my back but my major pain started in 2010. I started with my chiropractor and wasn't getting any relief so I switched chiros still no relief I went to an orthopedic. My MRI showed a huge herniation at L4-L5 ortho dr said I needed surgery at this point. So I started my hunt for a neurosurgeon. I had a Microdiscectomy done 5/1/2012 after surgery I had immediate relief. I ended up reherniating after a physical therapist pushed to hard to fast. I had another Micro done 2/1/2013 and haven't had any relief since. My doc sent me to a pain dr for nerve blocks to hobble me along because the next step would be a fusion and he didn't want to that yet cause of my age. After several injections nothing has helped, pain dr sent me for a myelogram and basically said that I need a fusion. The disc space is to narrow and is pinching the nerves. It seems like there are a lot of options for fusions. Rods and pins, no rods and pins, anterior, posterior. How do decide??