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I should have had mine fused to start with from L4 to S1 because right after they fused L4 L5 the L5 S1 disc went out soon as I started physical therapy I may have made a bad choice in doctors but you don’t ever know what to do with something like that a couple of months ago they said the 2 bottom screws need to come out now they don’t know so I am going to see another doctor tomorrow to get another opinion before I do anything else I am ready to get better are you walking and doing physical therapyI had L4 to S1 fused. So far it has worked great. Fingers crossed that it continues. I am lucky that I have little to no pain most of the time. I did have some soreness the morning after I did the oil change. It was a pain in the butt to do the oil change and that's right where I felt it in the morning. Feels alot better now that it's done!