When did you apply for spousal sponsorship and what is your spouse’s citizenship? Medicals tend to be extended for younger people who had no medical issues during their first medical. They are unlikely to have major medical changes in a year. Spouses being sponsored do not face the same excess medical demand rules as most other immigration pathways. The only thing IRCC is concerned about when it comes to spouses are communicable diseases. You need to separate the medical extension from processing they are not related. The extension of the medical was just procedural and has not impacted the processing of the application. The application will continue to be processed and you appear to be waiting for the background checks to be finished. It is impossible to say how long this may take. A lot of sponsorship processing timeline has to do with the applicant’s profile, their citizenship, whether they are being sponsored to Quebec, etc.