Mark, I got it. Thank you for clarifying the c7/ t1 situation, I was unclear about the t1/2 disc being mostly immobile and there for not being at risk for adjacent disease. I thought axial compression on a disc might also contribute to it becoming diseased also, but if most of my concern is with the motion of the disc ( flexion, extension) then I see the reasoning behind a fusion at c7/t1. Also thanks for clarifying that if an ADR is not feasible or to difficult at that level then a fusion is not the end of the world. It's like I've read on this forum so many times before, fusion does and can have a valid place in spinal situations such as with us on this board. Again thank you and everyone who posts for their knowledge and insights.
Jarrod
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