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spondylothesis and central/foraminal stenosis of L3-S1

spondylothesis and central/foraminal stenosis of L3-S1

I have an 8mm anterolisthesis on L4/5 with a 6mm retrolisthesis of L5 on S1.  Reactive marrow edema is noted around the end plates of L4-5 and L5-S1.  I have moderate central canal stenosis at L4-5 and at least moderate bilateral neural foraminal narrowing at the L4-5 level as well.  
What procedure would you recommend at this level?  I have been to a neurologist and ortho surgeon...fusion is their answer.  Any comments?
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