Should I get a second opinion?
I know everybody says always get a second opinion. But I think my case is pretty straight forward.
I have had over a year of conservative treatment which has failed, other than medication. I've had an MRI and discogram which has given me the diagnosis of L4/L5 and L5/S1 DDD, no disc herniation or stenosis (no pressure on nerves, visible on the MRI).
My surgeon has recommended 1) two level ALIF, 2) two level minimally invasive TLIF, or 3) hybrid surgery with TDR @ L4/L5 and ALIF @ L5/S1.
I had a very good feeling about this surgeon. He did fellowship training in spine surgery, and has done residencies in both orthopaedics and neurology. His specialty is spine disorders.
I don't feel like another surgeon would have anything different to tell me. They may prefer a different disc replacement type, or maybe suggest 360, but I can't see that they would really have a totally different treatment recommendation. Is it really necessary to go for a second opinion?