Sorry, are you saying that both levels will be fused via TILF? Or just L4-5, with ADR at L5S1? I don't see the advantage of fusion in Germany if ADR is not involved. Also, consider that if you need post surgery support, you may have some difficulty with ONZ. Search the forum regarding this.
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Pre Surgery:
C3-C4:Mild disc osteophytes. Mild-moderate right facet arthrosis. Mild right foraminal stenosis.
C4-C5:Midline central disc protrusion, significant. Mild canal stenosis.
C5-C6:Moderate disc osteophytes. Mild-moderate canal stenosis. Moderate-severe bilateral foraminal stenosis.
C6-C-7:Mild-moderate disc osteophytes. Mild canal stenosis. Moderate left and moderate-severe right foraminal stenosis.
June 29,2016-3 level M6 (C4-C7) Dr. Clavel Barcelona
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