BEST SPINE SPECIALIST IN PUNE BEST SPINE SURGEON IN PUNE MEET DR. NITISH AGARWAL AGARWAL SPINE CLINIC FC ROAD, SHIVAJI NAGAR, PUNE CASE OF 50 YEARS MALE PATIENT COMPLAINT OF SEVERE LOW BACK PAIN , LEFT LOWER LIMB PAIN WITH TINGLING SENSATION. ON MRI AND X RAY HE IS DIAGNOSED WITH L4-5 DISC PROLAPSE WITH SEVERE CANAL STENOSIS WITH SEVERE NERVE ROOT COMPRESSION. SURGERY - L4-5 POSTERIOR SPINAL FUSION WITH DECOMPRESSION DISCECTOMY LAMINECTOMY WITH L4- L5 INTERBODY CAGE FIXATION.(MICROSCOPIC SPINE SURGERY) PROCEDURE - DUAL THREADED TITANIUM SCREWS FIXATION DONE IN L4 AND L5 FOR GOOD HOLD VERTEBRAL BODY. TITANIUM RODS FIXED. LAMINECTOMY AND DECOMPRESSION DONE TO RELEASE PRESSURE FROM THE SPINAL NERVES AND SPINAL CANAL. L4-L5 DISCECTOMY DONE AND COMPLETE DISC REMOVED. INTERBODY TITANIUM CAGE INSERTED IN L4-L5 DISC SPACE. FUSION CONFIRMED UNDER C-ARM. PATIENT STARTED WALKING FROM NEXT DAY OF SURGERY. HIS LEG PAIN AND TINGLING SENSATION IS GONE. ADVANTAGE OF MICROSCOPIC SPINE SURGERY :- BEST TECHNIQUE OF SPINE SURGERY MOST SUCCESSFUL TECHNIQUE FOR SPINE SURGERY NERVES AND CRITICAL ORGANS ARE SEEN ENLARGED AND MAGNIFIED SO VERY LESS CHANCES OF DAMAGE TO NERVES AND CRITICAL TISSUES OF SPINE. VERY LESS MUSCLE DAMAGE VERY LESS SOFT TISSUE DAMAGE VERY LESS BLOOD LOSS SMALL SKIN CUT FASTER RECOVERY LESS INFECTION CHANCE DONE THROUGH SMALL INCISION - SO LESS CHANCE OF DAMAGE TO CRITICAL ORGANS EARLY DISCHARGE FROM HOSPITAL VERY LESS POST OPERATIVE PAIN