Introduction: Microtubular decompression (MTD) being a short-duration surgery, with many advantages, has gained popularity and can be done either in general anaesthesia (GA) or awake techniques like spinal anaesthesia (SA). The authors ventured to assess perioperative parameters, quantify peri-operative complications as the primary aim and determine patient satisfaction as the secondary aim of the study. Materials and Methods: It was a retrospective study performed over a period of ten years (2009–2019) and included 625 patients. The patients included were aged greater than 18 years, American Society of Anaesthesiologists (ASA) score 1, 2, or 3. Patients with ASA 4 or 5, spinal instability, infection, or revision surgeries were excluded. Results: There is no significant difference in the complication rates. The clinical outcome in the form of VAS and ODI scores showed significant differences both in SA and GA groups at the final follow-up. The total anaesthetic, surgical times, mean arterial pressure (MAP), and heart rate (HR) perioperatively were longer in the GA group (P < 0.05). The perioperative blood pressures are lower in the SA group. The dissatisfaction rate is about 3.5%, of which the patients and a total of 88.5% of patients would like to opt for SA for future surgeries. Conclusion: This study represents the ten-year experience with MTD operated either with SA or GA. Awake spinal surgery is promising and has the glaring benefits of better peri-operative hemodynamic stability, and faster recovery with reduced surgical and anaesthetic duration. Dissatisfaction rates can be decreased by better explanation and the patient’s decision. Keywords: Awake spine surgery, Microtubular decompression, Hemodynamic parameters, Complications, Patient satisfaction.

Retrospective analysis of prospectively collected data. To assess func Study Design: Objective: tional outcome of patients irrespective of timing of surgical intervention in cases with cauda equina syndrome. Cauda equina syndrome Background: (CES) is a spinal emergency requiring immediate surgical intervention. CES presents with constellation of symptoms like saddle anaesthesia, bladder or bowel dysfunction, sexual dysfunction, lower limb motor power loss having deep socioeconomic consequences on part of patients and medicolegal consequences on part of clinicians. 40 patients data were collected and compiled retrospectivel Methodology: y. Demographic data, Surgical data, Functional data in the form of bladder, bowel, sexual and motor power recovery were collected at 3 weeks, 6 months , 12 months follow-up and analysed based on Urinary symptom prole score, Neurogenic bowel dysfunction score, Arizona sexual experience scale, Medical Research Council grading respectively. Results: Though early presentation by the patient and emergent surgical intervention by clinician does play a decisive role in full and faster recovery of symptoms but our study suggests that even when patients presented with delay at our outpatient department and surgery was done on emergency basis, desired outcome was achieved in maximum number of cases presenting with incomplete CES.