Abstract
Aging spine may include complex degenerative lesions: spine stenosis, spondylolisthesis, kyphosis, scoliosis, lumbar disc hernias and osteoporosis. We present a case of a patient with multiple level degenerative severe lumbar spine stenosis, degenerative spondylolisthesis, lumbar disc hernia, who was treated succesfully with multilevel spine decompresion,discectomy and multilevel stabilization with transpedicular titan screws.