Think my 2 best options are.... Any Advice?

[longroadahead]

37 years, 185 pounds, 5'11. I am in Texas.

The ADR surgeons I have seen have mainly recommended a hybrid (fusion L5/S1 and ADR L4/5). My L4/5 MRI showed 2mm annular disc bulge with mild bilateral foramina stenosis and minimal flattening of the ventral thecal sac.

The neurosurgeons recommend mainly a TLIF (unilateral) or Microdisctectomy for the L5/S1 only and would not consider the L4/5.

Based on my research, think the hybrid is the way to go but think if I can get 5-10 years from my L4/5 the treatments available then will be better than they are now.

So that leads me down the path of just treating the L5/S1 for now. My insurance doesn't cover ADR but will cover most of the cost if done in conjunction with a fusion. I like the Kineflex but it is not FDA approved.

Will see one more surgeon next week then will try to make a decision. That will be 4 surgeons seen this year.