I am still somewhat confused. You had a T10-S1 fusion with “loose screws”? Where were the loose screws? You had a T4 osteoporosis fracture that still hurts or do you have referral pain from your C6-7 pseudoarthrosis? This surgeon wants to carry the fusion down from the C6-7 pseudoarthrosis to include T4 or down to T10? Did you have any diagnostic blocks to determine pain generators?