Hi Gil,
Just my opinion but I would choose ADR over fusion too, but the L5-S1 isnt the worst place to have a fusion. I have a Prodisc at L4-L5 and I am currently recovering from L5-S1 ant./pos. fusion last week. It's too early for me to tell you how the fusion worked out, but I would never have gotten a fusion at L4-L5. I fought tooth & nail for L4-L5 ADR in 2006, but a fusion at L5-S1 is not bad.
Hope you find the right treatment for you. Dont let those insurance co's push you around either. Their job is to save their company $$$ and to try to make your life miserable so give their crap right back to them.
Welcome to the site. You'll find ALOT of people here in the same boat as you....the friggin Titanic!!!!!
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 12/16/03 Work Accident
Herniation and DDD at L4-L5
4/1/05 Discectomy
Epidurals and facet injections
5/15/06 Discogram confirmed L4-L5 DDD also an asymptomatic L5-S1 tear
10/24/06 L4-L5 Prodisc surgery with Dr. Goldstein
CAT scans & X-Rays show ossification
Trigger Point Injections, Medial Branch Blocks, Acupuncture, Weekly Deep Tissue Massage
10/27/08 Discogram (positive L5-S1) 
11/25/08 L5-S1 fusion with Dr. Goldstein
FAILED BACK SYNDROME
Liberty Mutual WC
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