What dermatome does the radiculopathy follow? Sounds like L4-5 is substantially degenerated, while L5-S1 is not. It seems unusual that you have the facet and listhesis called out on L5-S1 in the presence of a still tall disc.
If your symptoms are coming from L5-S1, you may not be a candidate for ADR there, but I would hope that a decompression surgery would stand a chance at relieving the radiculopathy... but with the instability noted... how long will the system last?
Yours will be an interesting case to follow.
Have a great Thanksgiving! All the best,
Mark
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