It's not an attractive prospect, marching down the road towards spine surgery. Hopefully, your spine will be good enough to recover without surgery... conservative treatment. If you must entertain surgery, please do your homework and discover all your options.
HOw severely degenerated is your 4-5? With good disc height remaining, if you fail conservative treatment, there may be minimally invasive options.
Good luck... ask away if you have questions...
Mark
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