A number of questions have to be answered first before I can give any type of opinion. Why did you have cervical surgery and thoracolumbar surgery? For what symptoms and how did you do after surgery? How long were you pain free until the T4 fracture and what happened to cause the T4 fracture? what does the CT report say about the fusion status below T4 (“loose screws”)? How significant is the C6-7 pseudoarthrosis (CT report)? Have you been checked for osteoporosis? Do you have any other medical problems?