How I do it: en-bloc subaxial cervical laminectomy using a high-speed drill with a footplate attachment.

BACKGROUND: Cervical laminectomy is a common strategy to decompress the spinal canal. METHODS: The anatomy of the cervical spine and surrounding critical structures as viewed from the posterior approach is described. The use of a high-speed drill with a footplate attachment to make laminar troughs with an en-bloc subaxial cervical laminectomy is described with a discussion on surgical technique and complication avoidance. CONCLUSION: This technique allows for a safe, comfortable, and rapid decompression of the cervical spine with minimal risk. For routine cases, this may potentially be more safe and cost-effective than using a cutting bur or bone scalpel attachment.