Laminoplasty has its place in the surgical pantheon but has some limitations. First, if you have neck pain and not just arm and shoulder pain, then a laminoplasty will not have a beneficial effect on the neck pain relief where an ADCF will. Second, if the nerve roots are severely compressed (not the spinal cord), a laminoplasty will not be as effective to free these compressed roots as an ACDF. Finally, if the neck is slumped forward (called kyphosis) on X-ray, then laminoplasty is contraindicated (don’t do it).
You have compression of 2 levels which is beneficial for ACDF.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.