Well, symptomatic cases may require surgical management for symptomatic relief; though other possible causes of claudication and fasciculations such as vascular issues, muscular cause etc. would need to be ruled out. I would suggest discussing the situation and the management plan in detail with your treating neurologist.
Hope this is helpful.
Thank You for Your attention. I will follow your advice.
I'm trying to locate a Surgeon that is knowledgeable about Bertolotti's. I know of Surgeons of the West coast, but was looking closer to NC. I appreciate any help I can get. Regards.