The patient was operated by me for PCD C3-4, 4-4 and C5-6 with fusion with Scientx plate for C3-4-5-6 09-March-2002, then came to the clinic 04-October-2003 complaining of LBP for 1 month with bilateral sciatica.

On examination: the patient is in agonizing pain, limping with exaggerated scoliotic stance. SLRS was 60 degrees both sides with pain. There is weak dorsi and planterflexion both feet with weak both quadriceps muscles.

The patient was sent for investigation and MRI lumbar spine performed 05-October-2003 showing huge extruded disc L2-3 wide based.

Decompressive laminectomy L2-3 with foraminotomy both L3 roots .The very huge piece was removed from under the right L2 axilla. Right sided L2-3 discectomy lateral to the axilla and right sided intradiscal cleaning of L2-3 space was achieved. Bilateral cleaning of L2-3 was achieved. The epidural fat was transferred around the L2 root to minimize postoperative adhesions. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. Routine closure of the wound. Smooth postoperative recovery. The power of both feet dramatically improved.

The patient came to the clinic 24-October-2003 with clean wound and the power of both lower limbs normalized. SLRS was 80 degrees.

The patient then came 17-April-2016 telling that the last year having upper limbs pareasthesia. CT-scan cervical done 13-April-2016 showing calcified OPLL. The patient was sent for investigations and MR cervical spine done 02-May-2016 showing severe cervical canal stenosis due to ossified OPLL. She was advised for posterior decompressive laminectomy. but she disappeared.

The patient with age progressed OPLL causing cervical canal stenosis, which needs posterior decompression.

The estimated postoperative recurrence of lumbar disc surgery is around 7%, even with bilateral cleaning.