The patient came to the clinic 11-March-2012 complaining of LBP for 1 year with right sciatica for 6 months down to the L5 territory with numbness all toes right foot. The patient is a known diabetic for 13 years insulin dependent type.

MRI lumbar spine performed 02-January-2012 showing severe lumbar canal stenosis L4-5 with extruded disc L4-5 and right foraminal occlusion.

On examination, the patient is limping with exaggerated scoliotic stance. SLRS was 80 degrees in right side with pain. She has weak dorsiflexion right foot -4/5 and hypalgesia below knees both sides. The patient is complaining also of urgency and frequency for thirteen years. She has OA both knees more the left with pain.

Bilateral L4-5 flavotomy with right L5 Foraminotomy was done. The extruded disc was removed lateral to the axilla. Right sided cleaning L4-5 disc space was achieved. There was no epidural fat in the compressed area. A 5 ml Guardix-sol. was applied to decrease the postoperative fibrosis.

Routine closure of the wound. Smooth postoperative recovery. The power of the right foot became normal.

The patient still have around 7% postoperative recurrence because the disc space height still not shallow.

Earlier we used other brands of antiadhesive agents, which caused several complications such as rejection. Time will show the efficacy of this product.