I am by no means a doctor but a ADR at L5/S1 and a fusion at L4/5 doesn't make sense to me. From what I have read the L5/S1 has the least amount of movement and the safest to fuse so you would want to fuse that and have the L4/5 ADR.
Understand you have complicating factors that rule that out but the 2 surgeries so close together would not be an option for me. I would try to find a one surgery solution.
Is the L4/5 so bad that you couldn't have dynamic stablization and have the surgery all at once?
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2008 Back pain stared (M, 37, 185#, 5'11")
2009 MRI, Bilateral SI Joint Injection, PT, L4/5 Bi Lateral Facet Injection
2010 Acupuncture, Discogram, L4/5 and L5/S1 Bi Lateral Facet Injection, PT, L3/4, L4/5, L5/S1 Fibrin Sealant Injections
2011 ?
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