Cervical Myelopathy - Anterior cervical Corpectomy and Fusion (ACCF) This 42 year old male presented with imbalance, walking difficulty and hand grip weakness for last 15 days. His MRI showed Cervical disc herniation with spinal cord compression and cord oedema. CT scan showed OPLL i.e Ossified Posterior longitudinal ligament. Prescence of OPLL Changes your surgical plan. Normally for Cervical disc only ACDF i.e Discectomy is sufficient. But in cases with OPLL, complete bony resection is also needed along with disc removal. Some times dura is stuck to bone as was in this case. For such case bone is thinned out with electric burr and freed from all sides and left as floating mass. This patient underwent Anterior cervical corpectomy with removal of bone placement of cage and plate. Bleeded was encountered during surgery which was controlled with surgicel and floseal. Patient improved significantly and was mobilised on second day from surgery. His symptoms improved and was discharged on third day. He will need to wear cervical collar continously for 6 weeks , then intermittently. He is expected to make complete recovery in 3 months. Spine surgery is safe. At jaypee hospital, we are well equiped with latest and state of art instruments to take care of evry kind Spine surgery cases.