A 57 yr old morbid #obese Man with severe #LowBackPain and radiation pain along both lower limbs. In such cases often neural foramens of affected nerve roots are compressed along with the compromised spinal canal. Just #posteriordecompression may not be sufficient to give him back #activelifestyle, that is the reason the #vertebralcolumn was anteriorly stabilized with #PEEK cages and #bonegraft by #PLIF method along with posterior pedicle screw fixation #SpineSurgery #theboneclinic #drraysboneclinic