I think the same thing is going to happen to me. I believe it is a formal review. I think it happens to most everyone about 6 0r 7 years in. Get all your records together, and contact the person that helped you to get your dissability. I had a lawyer assistant, whos only job it is to help people with their dissiablity. This is what I am planning to do. I stopped taking an Opiate, and went down to a much lower strength medication. I worry they will consider that getting better. I also have other issues as you do. I have spinal fusions too, with plates C3-7. I do have a letter from my doctor stating I am not better, but that this is a permanent condition. I am not sure exactly how they do formal reviews. I bet someone will come along and say what happens next. ginnie