I went to see Dr. Ullrich who is one of the doctors who runs this site. Had an hour and a half appointment today. I had posted last week questioning if it was a good idea for me to have back fusion done when I only have minimal sciatica, but severe pain at times. Most of you recommended a third opinion. The first two docs had recommended a TLIF. Dr. Ullrich seemed to be more conservative on back surgery so I opted to see him. His recommendation, 360 degree fusion with TLIF and ALIF!!! :jawdrop: His explanation that this surgery is more painful from the incisions, but gives you fusion almost immediately, made sense. The fusion rates are much higher and recovery according to him much quicker due to the fact that you are not waiting for bone to grow around the hardware as much because they put in an metal cage with bone inside. So I thought I was confused before... 8} He told me that I am already suffering with this pain and thought I would be back to work much sooner because the fusion is faster. He also said I would not need to wear a brace. He described the regular fusion as like stacking two coke cans together (the inside of the spine is basically hollow) and putting screws on the side. Imagine twisting the cans.. that is why those type fusions don't work as well. With the inserted metal cage, it is basically putting your disc back immediately when he inserts it, then stabilizes it from the back with the rods and screws. Sorry this is so long, 8> but I really value everyone's opinion here and wonder what you all think and if anyone here has had a 360 fusion done?