I will try to make this brief.
I had a fusion about 8 years ago.
I'm 40 years old.
I have a physical job in a factory, 13 hour shifts.
I'm 6'5" with a long torso/spine.
After many appointments, mri's, injections, etc, my doc reviewed my latest mri and says that I need another fusion above my last one. I'm fine with that because I cannot live with the pain and can't stay on disability forever.
Okay, so there's the fusion at the bottom of my spine. Just above that is the main problem, but the disk above THAT one is also bulging, just to a lesser degree. Doc says that I have a choice, remove the old cage and install a new one at the bulging disk, or (remove the old one) and cage both bulging disks. He said that it would be preferable to only do the lower one and expect to do the other one at a later date, but we have no idea when that might be necessary. Doing both is the option, but he said it would put stress on the one above the two problem disks.
Any thoughts on what you would do in my situation? I cannot easily choose a new career. I don't know if permanent disability is an option under any circumstances, so I'll need to look into this as well.
Thanks for any thoughts guys.