Researchers conducted a retrospective analysis of 13 individuals with cervical myelopathy who had 5-level anterior spinal surgery. While there was limited research on treating high cervical disease that extends caudally, they believed that long segment surgery beginning at C2-3 may be done successfully and that it was an option that more patients might benefit from. Investigators sought to talk about how to get into the C2-C3 disc space and how effective it was for treating multilevel disease that starts at the C2 vertebral body. This included a detailed technical report as well as surgical tips. The department billing database and ICD codes were used to identify patients who had surgery between 2000 and 2016. The age of the patients, the operational indications, the levels treated, the length of hospital stay, the fusion outcome, and the operating complications were all investigated. A fusion analysis was carried out independently. The average length of stay in the hospital was 3.9 days. At the 6-month follow-up, eight patients reported considerable hand weakness, numbness, and gait improvement. Dysphagia was the most common complication (23%). About 1 patient had recurrent problems resulting from nonunion, while another had a neurological deterioration after surgery due to anterior spinal artery syndrome. The approach for visualizing and thoroughly decompressing C2-C3 spinal segments was discussed in the retrospective study. In addition, the efficacy and perioperative risk of long segment anterior cervical discectomy and fusion were investigated.