L2 – S1 fusion January 2011 by Neurosurgeon. After surgery, I continued to have back and hip pain. In September 2011 I was referred to Dr. Richard Francis in which he determined my pain was in the left SI joint. During the process of various test he also discovered that my previous fusion had failed which also resulted in loose hardware. Dr. Francis performed Left and Right SI joint fusion along with replacement of hardware and 360 fusion. Prior to meeting Dr. Francis I thought my back and hips would never be pain free again. Dr. Francis has visited with me on every visit pre & post surgery. He and his staff has always been professional and worked with me to meet my needs. Thank goodness for Physicians like Dr. Francis.