If your L5-S1 did not fuse, then a posterior fusion would be the next step. You would probably need a decompression of the side of your intermittent leg pain. The fusion needs to be between the transverse processes of L5 and the ala of the sacrum as a fusion mass of the lamina will do no good (the lamina is disconnected from the pedicles of L5).
I do offer a service called a “long distance consult”. You would fill out all the paperwork just like an in-office patient would and send all your images (both before and after surgery including X-rays, CT scans and MRIs). All the previous physician’s office notes would be helpful but I understand if those cannot be procured. I go through all the images and then call you directly. We typically spend about 20-30 minutes on the phone and I give you my conclusions both verbally and by dictated note. If you eventually come out to be seen in-person, the office visit is reduced and much easier to understand and go through. The plan, if surgery is needed is very commonly the same plan that is discussed over the phone with rare exceptions.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.