The patient came to the clinic 26-January-2012 complaining of numbness both hands more the right for 2 years and both shoulder pain for 2 months. The patient underwent right carpal tunnel release 10May-2010 without any improvement. The patient claiming that his condition is deteriorating.

MRI cervical spine done 26-April-2011 showing stenosis at C4-5 with malacia of the spinal cord at the same level. MRI repeated 31-August-2011 showing progression of the malacia.

On examination, the patient weak right upper limb muscles -4/5 and the left triceps -4/5 with hypalgesia of the entire right hand. Hoffmann sign was positive in both sides. Babinski was positive in both sides, more brisk in the right side with weak dorsiflexion right foot -4/5 and left foot 4/5. There was pronounced clonus both feet.

MRI of the cervical spine with myelography was performed 30-January-2012 showing small disci C4-5, C5-6 with stenosis at these levels with malacia of the spinal cord.

In supine position, with the head slightly flexed with Hallo traction with 5 Kg traction, laminectomy of C4,5 and partial of C3 and C6 was achieved. There is missing epidural fat at the compressed level.

Routine closure of the wounds. Smooth postoperative recovery with normalization of the power of four limbs.

The patient has progressive cervical canal stenosis with deterioration clinically and morphologically over the time. Surgical intervention is the only way to stop progression.

Why power recover immediately after surgery, despite the presence of malacia is still un-understandable, but parabiosis could have place, which disappear after decompression.