In clinical practice, many patients experience weakness in the lower extremities, unstable walking, and sometimes even almost fall down when their feet are weak. Patients often consider whether they are suffering from arthritis or cerebral infarction. However, after going to the hospital for brain CT and joint X-rays, no problems are found. Some doctors suggest that the patient check the cervical spine, and the patient does not understand – my neck does not hurt and my hands are not numb, so how can it be cervical spondylosis? In fact, it is likely that cervical spondylosis is at work. This cervical spondylosis is medically known as spinal cervical spondylosis. Patients with spinal cord cervical spondylosis often do not have an obvious history of neck pain and stiffness, and some patients do not have symptoms of numbness and weakness of the upper limbs. The main manifestation of this type of cervical spondylosis is weakness of the lower limbs and unstable walking. Patients feel unsteady when walking and have a cotton-like feeling when stepping on their feet; some patients even have a binding feeling in the chest and abdomen. The magnetic resonance examination reveals that the central type of cervical disc protrudes and directly compresses the spinal cord, resulting in a restriction of the transmission function of the spinal cord, and the brain is not as sensitive as a normal person in commanding the movement of the lower limbs. Patients with severe disease can develop lower limb muscle atrophy, similar to the symptoms of paralysis. Knowing that it is cervical spondylosis, many patients and even non-spine surgeons first think of traction therapy. As a result, the vast majority of patients are not treated effectively, and some even have their symptoms worsened. Spinal cervical spondylosis is medically forbidden to be treated with cervical traction. Traction treatment will not retract the protruding disc, but on the contrary may lead to increased pressure on the spinal cord and aggravate spinal cord injury. Studies have shown that the symptoms of spinal cord cervical spondylosis are aggravated by traction therapy up to 37%, and there are reports of paralysis and even death of patients with spinal cord cervical spondylosis after traction therapy. So how should spinal cord cervical spondylosis be treated properly? The treatment guidelines for spinal cord cervical spondylosis issued by the North American Spine Surgery Conference and the Japanese Cervical Spine Association both clearly state that surgery is the only way to completely cure spinal cord cervical spondylosis. When the vast majority of people in China hear about cervical spine surgery, their first reaction is to refuse it, believing that cervical spine surgery cannot be done and that they will be paralyzed if they are not well. There is no excuse for patients to think this way. The yellow race is a population with a high incidence of spinal cord cervical spondylosis, and the annual volume of spinal cord cervical spondylosis surgery in Asia (mainly in China and Japan) accounts for more than 70% of the world, and the annual volume of cervical spondylosis surgery in China is the highest in the world, but the proportion of paralysis due to surgery is the lowest in China. From January to September of this year, our spine surgery department completed more than 30 cervical spine surgeries, among which two patients were treated outside the hospital with minimally invasive treatment resulting in incomplete paralysis. Patients obtained good treatment results after surgery. Patients have felt that their lower limbs are stronger and they walk steadily after surgery, and those with incomplete paralysis have stood up. Mr. Liu, a 47-year-old patient from Xinzhou, was the most deeply touched. He had suffered from cervical spondylosis for many years, and because he was afraid of surgery, he had been treated conservatively for several years in a local hospital without any effect, and his condition kept worsening. After receiving surgery for cervical spondylosis at our hospital, he was able to stand up, walk hundreds of meters, and pick up a rice bowl with his hands to eat. Before he was discharged from the hospital, he felt very deeply: if he had known that cervical spine surgery was not so terrible, he would not have suffered for so many years, and he would not have been paralyzed. Weakness in the lower limbs and unstable walking should be considered as spinal cervical spondylosis. Spinal cord cervical spondylosis should be treated sooner rather than later. The spinal cord is a very delicate tissue and has a very poor tolerance for ischemia. Prolonged pressure on the spinal cord leads to softening and necrosis due to ischemia, and the spinal cord does not have regenerative function after necrosis. Therefore, once the spinal cord is necrotic, the function of the necrotic spinal cord will not return to normal even if the spinal cord compression is removed surgically.