[Maria]

Ask for further clarification. The worse that can happen is that you don't get it and the best is that you do to get it so that you fully understand what was meant by the reply. You've got nothing to lose. If the implant to be used w/ADR has to have anterior placement then I guess it's being suggested that if you cannot go to someone that is as highly skilled as this surgeon you would have either a posterior or transforaminal approach to your surgery and this might limit what type of hardware/implant device is utilized.