My brother, Pawan Kumar Sharma, is facing a severe recurrence of his lumbar condition. In 2021, he underwent an L5-S1 discectomy. A July 2026 MRI now shows a significant disc extrusion at the same level. His condition is critical—he is currently unable to walk. Given this complex revision case, we are seeking the highest standard of care to restore his mobility. We request your expert guidance on: Recommended surgical approach (Revision Microdiscectomy vs. Instrumental Fusion). Availability of advanced navigation or robotic technology for revision. Estimated timeline and cost for urgent admission. We are ready to travel for the right treatment. Attached are his 2021 surgical records and 2026 MRI report. We look forward to your urgent response.