SPINE DOCTOR IN PUNE MEET DR. NITISH AGARWAL AGARWAL SPINE CLINIC FC ROAD, SHIVAJI NAGAR, PUNE CAUDA EQUINA SYNDROME – CASE OF 46 YEARS MALE PATIENT COMPLAINT OF SEVERE LOW BACK PAIN , BILATERAL LOWER LIMB PAIN WITH TINGLING SENSATION. HE WAS UNABLE TO SIT / WALK. HE IS HAVING WEAKNESS IN BOTH LOWER LIMBS WITH BILATERAL FOOT DROP. ON MRI AND X RAY HE IS DIAGNOSED WITH L3-L4 BIG DISC PROLAPSE WITH SEVERE CANAL STENOSIS WITH SEVERE NERVE ROOT COMPRESSION (CAUDA EQUINA SYNDROME ). SURGERY - L3-4 POSTERIOR SPINAL FUSION WITH DECOMPRESSION DISCECTOMY LAMINECTOMY.(MICROSCOPIC SPINE SURGERY) PROCEDURE - DUAL THREADED TITANIUM SCREWS FIXATION DONE IN L3 AND L4 VERTBRAL BODIES FOR GOOD HOLD. TITANIUM RODS FIXED. LAMINECTOMY AND DECOMPRESSION DONE TO RELEASE PRESSURE FROM SPINAL CANAL. L3-L4 DISCECTOMY DONE AND COMPLETE DISC REMOVED. ALL NERVES ROOTS FREED AND DECOMPRESSED. INTERBODY TITANIUM CAGE INSERTED IN L3-4 DISC SPACE. FUSION CONFIRMED UNDER C-ARM. ACTIVE AND PASSIVE EXERCISES ARE STARTED FROM NEXT DAY OF SURGERY. ELECRO-MAGNETIC STIMULATION STARTED FOR BOTH LEGS. NOW PATIENT IS ON THE PATH OF RECOVERY. ADVANTAGE OF MICROSCOPIC SPINE SURGERY :- COMPLETE DISC REMOVAL POSSIBLE. NERVES AND SPINAL CANAL ARE BETTER VISUALISED DURING THE SURGERY. DECOMPRESSED NERVES ARE BETTER SEEN AFTER DISCECTOMY. BEST TECHNIQUE FOR SPINE SURGERY MOST SUCCESSFUL TECHNIQUE FOR SPINE SURGERY