How is someone supposed to deal with a statement like, "...but don't have surgery in the US..."? I know many great surgeons here as well as some hacks. Overseas, I know many great surgeons and some hacks. There is no magic field around the US making all surgery here bad, nor is there one elsewhere making it good.
From what I've seen through the years, the pars fracture and resulting spondy leaves you little choice.... avoiding a fusion in this case is unlikely (assuming that it is highly symptomatic.) It does give me pause that you only had 2 of these episodes before surgery? However, if the system was too severely compromised, there was not much else to do.
Good luck! Please keep us posted.
Mark
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