The surgery is most effective in correcting structural problems. Of course, a nerve decompression feels so good if needed........until the new spurs and scar tissue cause compression. While my lower lumbar looks like somebody put an errector set in there, I am a mess from newly aquired damage. I think your best bet is to have an ortho/neuro "tag team" do the work and take advantage of the specialized skills each brings to the table. Best wishes.