Preoperative MRI: A 70-year-old male patient with preoperative MRI showing significant anterior and posterior compression of the C3/4 spinal cord with altered intramedullary signal, resulting in unsteadiness in walking and numbness and weakness in the extremities. There was increased muscle tone, hyperactive tendon reflexes, and positive pathological signs. Postoperative MRI: After admission, the patient underwent first-stage anterior-posterior decompression, bone graft fusion, and titanium plate internal fixation. 2 months after surgery, MRI showed that the spinal cord compression was released, and the patient recovered very well. This patient also had lumbar spinal stenosis and was readmitted three months later for treatment of spinal stenosis after satisfactory recovery from cervical spine surgery. Postoperative X-ray of the lumbar spine.