While multilevel cervical stenosis may occur for a spread of reasons, it’s usually thanks to cervical spondylosis or ossification of the posterior longitudinal ligament (OPLL). Posterior Cervical Laminectomy Or Laminoplasty with LMS In Gwalior. Options for decompression of the canal include either anterior or posterior approaches. For multilevel disease, most surgeons prefer posterior decompression. Posterior decompression has the advantage of addressing multiple levels with one incision. However, this approach is hindered by the late complication of kyphosis with decompression alone or the loss of motion and adjacent segment degeneration if posterior decompression is performed in conjunction with fusion [1, 2]. Laminoplasty may be a technique that obliquely decompresses the medulla spinalis and preserves neck motion by avoiding fusion. this is often accomplished by hinging the laminae open on one or each side to permit the medulla spinalis to migrate posteriorly faraway from anterior compressive structures. Laminoplasty was initially described by the japanese within the early 1970s to treat ossification of posterior longitudinal ligament [3]. By leaving the dorsal structures in place , laminoplasty was developed to avoid the issues related to laminectomy, like kyphosis, instability, and delayed neurologic problems thanks to scar invasion. Laminoplasty has become increasingly popular in North America as experience with laminoplasty techniques has grown and its application has expanded to treat other causes of multilevel cervical stenosis besides OPLL, like cervical spondylotic myelopathy (CSM). The goals of this chapter are to debate the benefits and drawbacks of laminoplasty, key technical points regarding different laminoplasty techniques, along side the complications and outcomes of laminoplasty. Get the best treatment for POSTERIOR CERVICAL LAMINECTOMY OR LAMINOPLASTY WITH LMS IN GWALIOR.