Hi, Thanks for writing in. Spine fusion surgery is is intended for the following. Decompress a nerve root that is pinched, or Stabilize a painful joint. It is possible that a patient still has a lot of pains after fusion surgery. This is because other than the levels of spinal fusion, there are nerves getting pinched in some other places. Since a repeat surgery might not help much, it is best that you take conservative treatment with medications targeted to act on neurogenic pain. There are newer medications which have shown good response to patients with recurring pain after surgeries. Physiotherapy can help but not in every patient. Please restrict doing heavy physical activities involving your lower back.