Six patients with hemodialysis-associated cervical myelopathy underwent cervical expansive laminoplasty. Duration of hemodialysis ranged from 0.5 to 26 years (average: 11.8 years). No patients had destructive spondyloarthropathy (DSA). Pre- and postoperative neurologic status was assessed using the cervical myelopathy scoring system of the Japanese Orthopedic Association. Neurologic recovery was obtained in all six patients. We compared this group with forty patients, whose cervical myelopathy was not associated with hemodialysis. There was no significant difference between the two groups.