@bayhorse I understand. That is a problem when any hardware screwed to the spine puts you more at risk of fracture due to osteoporosis. Sometimes surgeons have patients on bone building drugs for a period before spine surgery. From what you said, it's a lumbar problem, right? I don't know if lumbar fusions can be done without hardware and have a patient in a body cast. My cervical fusion was without hardware (only a bone disc) and I stayed in a neck brace until fused. I hope you do find a willing provider with a solution.