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Originally Posted by Dr_sciatica SENT AN EMAIL TO CLAVEL: Dr Clavel,Wanted to set up a call with you. I am pretty set with you, but I have some questions. 1. What method of anterior fusion do you use(instrumentation)? If one had unstable spondylolisthesis, isnt an anterior fusion usually ruled out? 2. Why did you recommend me an ADR at L4/L5? Do you feel my disc at L4/L5 is degenerated beyond a normal limit and causing many of my symptoms? 3. With the anterior approach ...