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I'm also starting to study for the June 2011 test. I took the September 2009 exam after studying for about 3 months, during which time I was also recovering from a spine fusion, and I didn't do as well as I wanted. This time around I'm healthy and giving myself plenty of time to study.
Whoa! I was considering getting spinal fusion for my L4-L5 region but decided against it because I didn't want to miss out on the December test. Now that I'm postponing to June, I'm re-considering it. Might do lots of back exercises instead and hope the problem goes away by itself.
How did you do in Sept 09 and what's your score range at the moment? Also, how did you bust up your spine?