I read extensively last night, and the fusion will for sure leave me unable to swallow considering I have esophagus problems already, but the surgery will end it,,,,,,another thing,,,,,,in the state of CA, Dr and medical universities do not offer the same services as others even though they take the same insurance! For instance, UCSF provides 3 weeks of in home nursing care after this type of spinal procedure with same insurance where as UCD provides none! And so on, same with procedures,,,so going to see what options are out there,,,have read that the total disc replacement is not done on more than 2 discs in same area,,so don't know it that has changed or?? But am looking into it as from what I read, people with swallowing problems that had this type of surgery had no problems after their surgery about a week post op were still able to swallow as before,,,so yes looking at any and all options while I can,,desperate for anything better!! I did hear from Mark, will speak to him this weekend, and he knows a gal who also has my condition syringomyelia who had surgery also, and she is doing great,,,not that way for everyone I know, but gives me a little hope now! But the biggie in CA no matter what insurance you have, you need to shop around, as a specialist in the same field does not have to offer the same or better service as another specialist will, so worth the phone calls!!!!