In the reconstruction efforts of non-traumatic, non-malignant conditions of the cervical spine, increasing efforts are underway to avoid fusion surgery, in order to avoid potential propagation of disc degeneration while utilizing minimally invasive procedures to increase patient comfort and expedite recovery. This program demonstrates endoscopic cervical nerve decompression, the technique of laminoplasty as well as early results of arthroplasty in the spine as examples of these efforts.