A 56-year-old man with degenerative disease at levels L4/5 and L5/S1. He benefited after probatory infiltration. One year after surgical treatment with two-level decompression and TLIF L4/5 and L5/S1, there were no changes in the measured score levels of chronicity, depression, activities of daily living and pain intensity compared to the preoperative/pre multidisciplinary pain program treatment scores. a, b) Preoperative x-ray, a.p. and lateral view. c, d) One year after surgery.