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I am Dx with L4/L5 stenosis due to spondylolithesis (<25%) with hypertrophic facet of L4 impinging on sciatic nerve. MD states "ALTHOUGH SHE DOES NOT HAVE DYNAMIC INSTABILITY OF HER L4-L5 SPONDY, I SUSPECT SHE MAY STILL BENEFIT FROM FUSION FOR HER BACK PAIN (his caps, not mine)". My PT advises that surgery should be last resort.
What factors did you consider before deciding to have/not have surgery? How does the patient made desperate with pain make this decision?