This exhibit depicts a posterior cervical laminectomy and fusion to decompress neurological structures. The procedure begins with a posterior midline incision from C4-5. The posterior lamina of C4-5 are exposed, the facet joints are removed, and laminectomies are performed. The lateral masses are decorticated to promote fusion, holes are drilled for pedicle screws, and the pedicle screws are inserted. Rods are then secured to the pedicle screws and the fusion site is packed with bone graft.