[dshobbies]

Welcome Richard,

Usually an ADR is preferable to a fusion because a fusion doesn't move. However, your lumbar spine moves the least at S1/L5 and in your case, if the disc height is severely compromised, an ADR might not be feasable whereas it may entirely be possible at L4/5.

The only honest opinion you'll get is from a doctor who does both ADRs and fusions. If he doesn't do ADRs, he's not going to recommend one. You also want a doctor who had lots of ADR surgeries under his belt, which still doen't guarantee a quality doctor but at least you won't be a guina pig.

Stenum started off with a bad reputation but those who have found success with them believe this zebra changed its stripes. It caused quite a fracus on this forum and most pro-Stenum spiney's left. Now, even Dr. Bertagnoli in Germany, long considered one of the best ADR surgeons, has come under well deserved scrutiny as of late. Dr. Zeegers, also in Germany is still at the top. The US has several top ADR surgeons, at probably the highest cost, and others can recommend doctors from different countries including Dr. Young if anyone has experience with him.

I will tell you this, that your choice of surgeon is your most important decision. Choose wisely and good luck,

Dale