The patient came to the clinic 24-February-2010 complaining of LBP for 5 years with left sciatica and numbness left foot. She could walk only 20-20 meters dragging her left leg.

On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 30 degrees in both sides. There is weak planterflexion and dorsiflexion both feet 3/5. with hypalgesia of the left leg below the knee.

She is a known diabetic with bronchial asthma and allergic to aspirin and diclofenac.

MRI lumbar spine done 05-March-2010 showing huge severe lumbar canal stenosis L4-5 with several disci D7-8, D9-10, D11-12 of no surgical value.

Decompressive laminectomy L4 and L5 with foraminotomy L5 roots both sides was performed. All the compressive elements were eliminated.

Routine closure of the wound.

Smooth postoperative recovery, and the power of both feet became normal.

Lumbar canal stenosis is a progressive disease and the sooner the compression is removed the better the outcome.

Foraminotomy must be included in the surgical plan to resolve the lateral recess syndrome.