Sounds like you were pretty lucky to retain such a high functioning lifestyle for so long after a history that starts with multi-level fusion in 1970. I'm so sorry that you've had such a long litany of surgeries and have experienced so much 'domino effect'.
There are many options available, some that cannot be considered by your local surgeons. Please take your time and discover all your options before pulling the trigger... you can only go to the well so many times... there is a law of diminishing returns on spine surgery.
Good luck... all the best,
Mark
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