Hello....FYI, I am a newbie but have been searching through your forum for a couple of weeks and am now ready to ask a question. I have had neck issues for years(nothing severe). For the past 2+ years I have had hand problems (numbness, tingling). The diagnosis was carpul tunnel. About 6 months ago I started having increased hand problems & neck pain along with shoulder, elbow & knee pain-all left side. My PCP sent me for x-rays and with those findings sent me for an MRI on 9/6/08. The findings are: spinal stenosis and cord compression between C4 - C7 due to combination of hypertrophic changes and bulging discs, most marked at C5-C6. Mild cord edema or myelomalacia at C5-C6 left side. Sent to a NS and he recommended a 3 level ACDF C4-C7 and sent me for a CT Scan. Of course this freaked me out...I thought he didn't know what he was talking about. I called my PCP and they made an appointment with a different NS for a 2nd opinion. He said that because of where the osteophites were growing an ACDF would not help my problem and he recommended a 3 level posterior cervical laminoplasty with titanium hinges...he wanted to deal with the compression asap. Has anyone had this procedure? Any info would be very much appreciated. Thank you.