In actual clinical work and in the process of responding to patient consultations online, we found that many patients still have many misconceptions about the diagnosis and treatment of cervical spondylosis. Some patients think they have cervical spondylosis when they have neck discomfort or dizziness, and ask their doctors to prescribe medicine for them, or to treat them with traction, tui-na, massage, drinking various kinds of traditional Chinese medicine, and so on. The company has spent a lot of money, involved a lot of energy, took a lot of detours, but in the end did not figure out whether they have cervical spondylosis, the extent of the disease. First of all, it is essential to find an orthopedic doctor to do a physical examination related to the cervical spine, especially the neurological examination of the cervical spine. For example, whether the reflexes of the limbs are hyperactive, whether Hoffman’s sign is positive, whether there are symptoms of sensory numbness in the upper limbs, whether there is increased muscle tone in the lower limbs, and especially whether there is a difference between the sensory movements of the left and right hands. A short physical examination of 3-5 minutes can make a basic judgment on the patient, and even nerve localization, which some orthopedic surgeons often do not pay attention to or ignore. Secondly, a cervical spine frontal and lateral X-ray and cervical MRI are done. Some patients ask for a cervical spine CT as soon as they come in, thinking that a cervical spine CT can understand the whole picture of the cervical spine or considering that the cost of doing a CT is affordable. In fact, they do not understand the real role of various imaging. Cervical spine frontal and lateral X-rays are used to observe changes in the physiological curvature of the cervical spine, whether there is any loss of intervertebral space height, whether there is ossification of the posterior longitudinal ligament, the site and degree of osteophytes, whether there is any subluxation of the atlantoaxial spine, whether there is any congenital deformity, etc. A good X-rays can reflect many problems of the bony structure. MRI of the cervical spine is used to understand the soft tissue, such as the degree of disc herniation, the degree and location of spinal cord compression and deformation, whether the spinal cord or vertebral body signal changes, and whether there are occupations in the spinal canal. On this basis, in order to understand the exact situation of ossification of the posterior longitudinal ligament or bony bulge in a certain local or plane, a cervical spine CT or even a CT 3D reconstruction can be done to show the local bony structures more clearly. Just like a missile, you can only hit the target more accurately when you are given precise positioning. Otherwise, even the imaging doctor doesn’t know which segment you want to do the scan. The appeal examination basically clarifies whether you have cervical spondylosis and the severity of it. Finally, after it is clear that it is a diagnosis of cervical spondylosis, then you can formulate whether to treat it conservatively or surgically. Some patients tend to worry about the risks and costs of surgery and ask for conservative treatment even though they already have very serious cervical spondylosis, and they often overlook the fact that the risks associated with serious cervical spondylosis are often greater than the risks of surgery.