Thanks a lot for your reply. The reason the L4-5 level was left alone was an attempt to carry out the most conservative intervention. Assuming that the ADR is projecting into the spinal canal, and a tear in the ADR envelope, what kind of surgical intervention is possible? Is removal of the ADR possible or is it necessary just stabilize the ADR? In the first case would an anterior route be necessary? Will the second case allow a posterior approach? What are the risk factors and considerations?
Is there hope to maintain some flexibility in the spine?
I know this is a loadfull of questions any help would be appreciated.
