Background: Optimal surgical strategy for managing mul-tilevel cervical myelopathy is still a matter of controversy. Skip laminectomy and laminectomy are specific cervical approaches for treatment of multi-level cervical spondylotic myelopathy. Aim of Study: This study is to thoroughly compare between both approaches regarding clinical results and complications. Aim of Study: To evaluate the role of skip laminectomy in tearing patients with multi-level cervical spondylotic myelopathy. Material and Methods: This study was conducted in Man-soura University Hospital 2018-2021 on 40 patients 23 males and 17 females with mean age 59 years with multi-level CSM Were operated using Posterior cervical approach, 20 cases op-erated using laminectomy procedure (group A) and the other 20 cases were operated using skip laminectomy procedure (group B). We compared the data of both group regarding the clinical results and complications. Results: Comparison between group A&B shows that group B showed less postoperative neck pain, less affection of ROM, less loss of cervical lordosis, less blood loss and less operative time. Also the rate of complications is less in group A. Conclusion: Although the clinical outcome of both proce-dures showed no significant difference that can give absolute superiority to any of these approaches but skip laminectomy is less destructive with better postoperative course and shorter hospital stay. On the other hand it is more lengthy procedure which needs special skills and learning curve.