The Department of Neurosurgery has a comprehensive complex spine and reconstruction service. This is spearheaded by Dr. S. Regnachary, who also heads up the Fellowship in the discipline. Dr. Rengachary has over 30 years of experience in this challenging field. Over the past decade, there has been an explosion in the types and varieties of operations for trauma, as well as degenerative conditions. Under his direction, we perform minimally invasive, maximally effective procedures for disc related problems and percutaneous fusions. Complex reconstructive procedures, using the latest instrumentation techniques, are effected in conjunction with our general surgical colleagues, when needed.