Clinical manifestations of cervical spondylosis】 Patients with cervical spondylosis often show a sense of stiffness and soreness in the neck and can radiate to the arms, some may also experience hand numbness, weakness and dizziness and headache, and severe cases may also have stiffness in both lower limbs and a feeling of stepping on cotton. The cause of cervical spondylosis is degenerative pathological changes such as disc protrusion, bone formation, ligament thickening and calcification, etc. that compress the nerve roots or spinal cord. These symptoms of cervical spondylosis are actually a self-protective reaction of the body. The stiffness of the neck is to keep the neck in a position with minimal pressure on the nerves, and if the pressure continues, numbness and pain will occur. Local numbing injections or plastered massage can relax the muscles and temporarily relieve pain, but there is a big concern because when you don’t feel the pain anymore, you may move your neck at will, which can lead to greater nerve damage. And improper pushing may also harm the nerves. Therefore, the correct approach is to limit the neck activity and rest, and if the symptoms are progressively aggravated, surgery should be performed to release the compression. 【Treatment】 At present, the neurosurgery department introduces advanced technology from abroad to implant a tiny elastic clip (C-JAWS) into the patient’s cervical spine under a microscope (Figure 3), and the symptoms of cervical spondylosis can be eliminated immediately after surgery. This new technique requires only a small incision of 2 to 3 centimeters in the anterior cervical dermatome (Figure 4) to remove the herniated and degenerated disc and the bony bulge and place the artificial disc. This tiny elastic clamp replaces the plates and screws that have been used in traditional surgery, allowing for a smaller incision and the use of a microscope to perform the complex procedure. The procedure itself is minimally invasive, resulting in a quick recovery and normal bedtime activity the next day. Previously, thicker fixed plates could cause postoperative discomfort such as swallowing, and the recovery time was longer. The key to spinal surgery is to protect the nerves, and neurosurgeons are used to operating under a microscope and are more familiar with the anatomy and physiology of the nerves, so the surgery will be more minimally invasive, more delicate and safer.