The patient came to the clinic 20-November-2013 complaining of LBP for 15 years with left sciatica for 3 month with numbness of the left foot and inability to walk more than 20 meters. She was operated for extruded disc L4-5 15 years ago. She is a known hypertensive with diabetic mellitus for 6 years.

MRI lumbar spine done 31-October-2013 showing lumbar canal stenosis L2-3, L3-4 and L4-5.

On examination is limping with exaggerated scoliotic stance. There is pain in the neck when turning the head to the right with weak grip, extension left hand and the left triceps muscle 4/5. SLRS was 65 degrees both sides with pain. There is weak dorsiflexion left foot -4/5 and right foot 4/5.

The patient was sent for new investigations, and MRI 21-November-2013 showing severe lumbar canal stenosis L1-2, 2-3, 3-4 and L4-5. There is mild cervical canal stenosis C4-5, C5-6 and C6-7.

The patient progressed nasal bleeding the night before surgery and urgent MRI of the brain with MRA were normal. The cause was due to Voltaren group sensitivity.

Decompressive laminectomy L2,3,4, lower third of L1 and upper third of L5. All the stenotic components were eliminated. Foraminotomy of the left L3, L5 roots. Routine closure of the wound.

Smooth postoperative recovery. The power of both feet became normal.

The patient has lumbar canal stenosis, which is progressive in nature, the early the surgical correction the better the outcome.