Case History –

• 60 yr / M, Officer in bank
• Complains of Low Back Pain and buttock pain and Leg pain during walking, heaviness in legs and numbness in legs while walking.
• Difficulty in walking due to LEG PAIN , Heaviness in legs while walking
• Cannot walk for more than 10 mins (Claudication)
• Symptoms more than 1 year recently progressive in nature

Diagnosis –

• X rays , CT scan and MRI is often needed to reach a diagnosis in combination with clinical examination.
• In consultation with one friend who was operated for slip disc at Spine Clinic Mumbai byone of the best spine specialist in Mumbai – Dr. Vishal Kundnani ,Senior Spine surgeon Spine Clinic Mumbai met the Spinal Surgeon –Dr. Vishal Kundnani at his Spine Clinic Goregaon , Malad , Kandiwali.
• After clinical examination a X ray was done in bending position , Flexion and extension x ray which shows a slip of L4 bone over L5 bone resulting in nerve compression. MRI of spine is advised to arrive at diagnosis
• Spinal stenosis with spondylolisthesis (slip of one bone over another resulting in nerve compression) at L4-5 diagnosed as the cause of leg pain AND difficulty in walking with heaviness and numbness in legs.
• Advised physiotherapy and medical pain management – gave partial relief however affected walking due to leg pain and numbness and couldn't walk long distance.
• Symptoms recurred and progressed every month resulting in reduced walking

Plan of Surgery (Minimal invasive spinal fusion for spondylolisthesis –MIS TLIF ) –

• Microscopic minimal invasive surgery
• Microendoscopic decompression surgery with MIS TLIF
• Minimal invasive Spinal Fusion surgery

Surgery Performed –

• Spinal fusion surgery by Minimal invasive technique is called –MIS TLIF. (Minimal invasive Lumbar interbody fusion surgery) Dr. Vishal Kundnani often performs navigation spine surgery and is best specialist in robotic spine surgery in Mumbai.
• Microscopic technique of minimal spine surgery for spondylolisthesis is extremely safe and efficient.
• MICROENDOSCOPIC SPINE SUGRERY decompression and fusion surgery done with decompression of nerves and fusion of slipped bones using implants in spine by one of the best spine surgeon in India – Dr. Vishal Kundnani in thefinest spine center in country Spine Clinic Mumbaiusing Minimal invasive spine surgery.
• Microscopic technique of minimalspine surgery for Spinal Stenosis with spondylolisthesis (slip of bone in spine ) was performed by Spine specialist in Mumbai- Dr. Vishal Kundnani using small incision and tubular instruments and patient recovered immediately and discharge from hospital the third day after surgery with quick return to work with no restriction to activity.
• Benefits of Minimal invasive spine surgery in spinal fusion surgery are no pain, small incisions , no bed rest post surgery, no blood loss, no infections , no Dural injury , early return to normal life.

Case example of MRI and surgical pictures of Minimal Invasive spine surgery by one of the best spine specialist in Mumbai – Dr. Vishal Kundnani at Best spine center – Spine Clinic Mumbai.

L4-5 Lumbar Spinal Stenosis nerve compression due to spondylolisthesis (slip of one bone over another ) with Lumbar Canal stenosis

Tubular Micro endoscopic spine surgery (decompression and spinal fusion) MIS TLIF was done with small incision in spine using tubular retractor and microscope by Dr. Vishal Kundnani at spine clinic Mumbai. Spinal Stenosis with spondylolisthesis surgery done with Minimal invasive spine surgery with transforaminal interbody fusion (MIS TLIF) technique by Dr. Vishal Kundnani using small incision of 2 cm only . Patient got immediate relief and no bed rest required with early return to work.

Is spinal implant safe? Is screw plate in spine safe ? Is screw plate FUSION surgery safe? –

• Yes. The spinal implants used for spinal fusion surgery are made of titanium which is an inert metal and extremely safe for the human body. When spinal implant, spine screw plate, screw plate in the spine is inserted in control by a trained spinal surgeon they don't create any problem.
• To enhance safety Intraoperatively some Spinal surgeons use IITV (X-RAY ) and navigation and robotics in spine surgery to make sure surgery is safe for patients.
• Dr. Vishal Kundnani is the pioneer in Spine Navigation surgery in Mumbai. Dr. Vishal Kundnani is the best spine Navigation surgeon in India. Dr. Vishal Kundnani is trained in Navigation spine surgery and robotic spine surgery. Robot in spine surgery makes spine surgery safe. Dr. Vishal Kundnani is the best robotic spine surgeon in Mumbai and best Spine Navigation surgeon in Mumbai for Computer-guided navigation spine surgery in Mumbai.

Case Study of –

• Minimal Invasive Spine Surgery for Spondylolisthesis
• Minimal invasive Spinal Fusion for Spondylolisthesis
• Spinal fusion surgery
• MIS TLIF
• Minimal invasive spinal fusion surgery