Has anyone with titanium spinal fusion have Emsculpt with no issues?

This needs liposuciton plus internal heating (renuvion) for improvment.  trusculpt FLEX does better than emsculpt and RF treatments like legacy should be done at the same time.  this may help but likely not nearly what is needed which is liposuction.  Best, Dr. Emer.

No the number of Emsculpt sessions is always at least 4, true that some patients with above normal body fat percentages will benefit and get better results with more sessions, but it is always at least 4

Yes! I use Emsculpt on every muscle in the leg including inner and outer thigh as well as front and back, for total thigh transformation. The smaller contoured panels work great to sculpt and tone your legs.