Abstract
Stand-alone cervical laminectomy for degenerative cervical myelopathy (DCM) has become increasingly rare because of risk of postlaminectomy kyphosis. This article discusses the biomechanics of cervical degeneration and how laminectomy effects spine stability and summarizes relevant clinical studies to help guide surgical decision making for the posterior treatment of DCM. Laminectomy and fusion remains a safe and efficacious treatment. Stand-alone laminectomy should be used only for a highly selected patient population with relative stiff lordotic cervical spines, using care to not disrupt facets and C2 and C7 muscle attachments.