The spinal canal stenosis affects the spinal neuronal tissues and accompanying vascular structures, causing cervical myelopathy. These individuals frequently have cervical and upper extremity pain, but the causes vary according to the range of diseases. The patient`s clinic is crucial, but X-ray, computed tomography, magnetic resonance imaging, and electrophysiological exams determine disease progression and treatment. In moderate cases, medical and physical therapy are the primary treatments, but surgery is the best way to alleviate neural pressure, rectify lordosis, and stabilize the spine in severe mechanical compression. Posterior decompression with laminoplasty has been used to treat cervical spondylotic myelopathy with good results, but for conditions like local kyphosis, segmental instability, and previously operated cervical spine, posterior decompression and stabilization have become more popular. Pedicle screw fixation is the recommended posterior cervical instrumentation for stabilizing and correcting sagittal and coronal abnormalities in cervical spondylotic myelopathy patients. This method does not eliminate vertebral artery and spinal nerve root injury. Lateral mass surgery was launched in 1982 and has had several names. Once used only for traumatic cervical instability, it is now used for degenerative, inflammatory, tumor, and instability prevention. Today, the surgical approach is chosen based on the patient`s pathology and clinic, reducing problems and instability.