Background: Spinal stenosis is characterized by the compression of nerve roots due to various pathological factors, resulting in symptoms such as pain, numbness, and weakness. Surgical options are warranted for patients experiencing considerable functional limitations due to one to two-level disease or deformity. Hence, the present study was conducted to evaluate surgical management of multilevel cervical spinal stenosis & cord injury with cervical spine fracture at a tertiary care hospital. Materials &Methods: A total of 100 patients with cervical vertebrae trauma were enrolled. A total of 40 patients presenting with multilevel cervical spinal stenosis and spinal cord injuries associated with unstable fractures were identified based on CT and MRI evaluations. These patients were categorized according to the specific type of their conditions: five patients exhibited ossification of the posterior longitudinal ligament alongside one intervertebral disc rupture; nine patients had two-disc herniations and one rupture; seven patients experienced two herniations and two ruptures; and 19 patients were found to have three herniations and three ruptures. An open-door expansive spinal decompression was executed via the posterior approach, and the suspended laminae were secured to the connecting rod. Following the surgical intervention, skull traction was removed, and standard postoperative medical management was initiated, which included glucocorticoid therapy, dehydration treatment, conventional nerve nutrition, and prophylactic antibiotics. The safety of the cervical pedicle screw (CPS) placement was assessed through radiological evaluations. All findings were documented in a Microsoft Excel spreadsheet and subsequently analyzed statistically using SPSS software. Results: Mean age of the patients was 45.3 years. 80 percent of the patients were males while the remaining 20 percent were females. Four screws fixations, Six screw fixations and Eight screw fixations were seen in 32.5 percent, 45 percent and 22.5 percent of the patients respectively. Mean operative time was 183.6 minutes while mean intraoperative blood loss was 412.3 ml. Mean JOA improved from preoperative value of 3.95 to final postoperative value of 8.07. Cerebrospinal fluid leakage, pulmonary infection and urinary tract infection were seen in 2.25 percent, 5 percent and 2.25 percent of the patients respectively. Conclusion: The open-door expansive laminoplasty, when paired with posterior transpedicular screw fixation, is a viable procedure that results in reduced blood loss.