ObjectiveThis study aimed to determine whether the preoperative spino-cranial angle (SCA) predicts cervical sagittal imbalance (CSI) after laminoplasty (LP).MethodsWe retrospectively screened 298 consecutive patients with degenerative cervical myelopathy (DCM) who underwent LP at our hospital from January 2018 to June 2021. Of these, 116 met the inclusion criteria and were analyzed. Radiographic and clinical parameters were collected preoperatively and at the last follow-up. Patients were strati