After a lot of research and consulting 4 neurologists, 2 of whom have done multiple decompression surgeries, we opted for medical management (combination of a very low dosage of prednisone, gabapentin and omeprisol). The 2 "experinced" neurloigsts felt that long term the dogs all fared about the same, so best not to put them thorugh the surgery as some come out for the worse.
Jack does extremely well and most days is a normal dog. He has roughly one screaming "attack" every six to eight weeks, but itches daily. Before we got him on meds, we has screamed all of the time, did not want to walk, bunny hopped, etc. I contribute this largely to acupuncture (he goes every 3 weeks) and a raw diet. He was diagnosed at 20 weeks and is 1.5 years now. The problem is it seems like every dog is different, so you just have to watch for progression and if it is rapid, surgery may be the best option. I keep a journal as I find it very helpful to determine patterns.
Mary Ann (Jack Sprat's mom)