@jpeach I have been on a daily injection of Forteo for two years now. If not, I probably wouldn’t be looking at surgery because of osteoporosis. I have moved into the osteopenia category after two years…Yay! I do not want a fusion, due to the stress above and below the fusion that will leads to more surgeries. The TOPS is a new surgery in the US that avoids a fusion and allows movement. It’s supposed to alleviate the stress above and below the fusion. It has been done in Europe 12 years or so, but was just approved here in 2023, so many doctors haven’t been trained to do it. You can look up TOPS spine surgery to find out more. Good luck to you as well. I’ve delayed surgery as long as I can. My ER visits are more frequent and I’m having trouble walking, standing and sitting.