Chronic Pain Support Group
Physicians and professionalsdefine pain as chronic if it lasts longer than three to six months and is persistent. It's distinct from acute pain that is a direct result of injury or trauma. This support group is dedicated to those suffering from chronic pain. Discuss treatments that have worked for you, find advice for your specific experience, and find support. You're not...


When I have had conflicting opinions, I have gone to a fourth and even 5th surgeon.
Two are saying it's the same level, just recommending different surgical options.
Fusion at L5-S1 is difficult to fuse, and if it is bone on bone, natural fusion will happen.
Can you manage with pain meds, muscle relaxers and other treatments?
A discetomy might not be a bad option to consider first, since the recovery time is shorter but I think if I were you, I would get at least another opinion or two.
There is obviously something wrong if 3 Drs are suggesting possible surgery.
Do you have no other choice than the 2 neurosurgeons that you've metioned? Do you have any major Universities near your town, where they might have a teaching Hospital? That particular situation can usually be one of the best place to find the best Surgeons and Neurosurgeons. If you could find a great Neuro at a Teaching Hospital that is joined to the University you could get a really good Dr. and it would be a 3rd Opinion which wouldn't hurt, since this is a major thing they are tackling with your back, I'd try as many as I can until I find one that A. Makes me feel comfortable, B. Is willing to help me and seems caring and genuine, C. Has a great Neurology and Neuro Surgical Department with Great Dr.'s, D. Is a place that your current PM doc will work with for aftercare.
This is just some things I thought might help you look outside the box a little.
OCP
The domino effect that I was telling you about once you fuse a disc; is known by all neurosurgeons and orthopedic surgeons. The just don't tell you about it up front. I know full well how painful a torn disc is; and a herniated disc as well. I would have still never had the first one; if I know I was going to need 8 more over the next 17 years. I would try to get by on pain meds as long as you can take the pain. Don't do the surgery until it becomes unbearable. Or you will be headed down the same path that I have been on. I wouldn't wish it on anyone!!!