The indications for anterior cervical spine surgery are generally cervical spinal cord or nerve root compression below three segments, patients with radicular symptoms not relieved by conservative treatment for more than three months; or medullary symptoms, patients with walking involvement of both hands or both lower extremities. The current surgical approach: ACDF or ACCF, ACDF refers to the fusion of adjacent surgical segments after removal of the intervertebral disc; ACCF refers to the fusion of adjacent surgical segments after removal of the vertebral body. Both require the use of anterior plate protection. 2, postoperative treatment: 1) after returning to the ward from the operating room, the patient generally wears a neck brace fixed, lying position, cardiac monitoring, the following 24 hours is the critical time after surgery, must closely observe the changes in the patient’s vital signs, especially important is the drainage tube situation and respiratory condition, if there is difficulty in breathing, little drainage fluid, consider the formation of postoperative hematoma, the emergency must be performed at the bedside incision exploration, otherwise asphyxia to death. 2) On the second day after surgery, the patient’s vital signs are stable, observe the drainage fluid from the drainage tube, which is usually greater than 40 ml, and it is recommended to place it for another day for observation. The head of the bed can be swung up about 40°, and attention is paid to wearing a neck brace. 3) On the third postoperative day, the patient’s drainage is less than 40ml, the drainage tube is removed, postoperative X-ray and cervical MRI film are reviewed, and the patient wears a cervical brace to move around on the floor. 4) If the patient’s general condition is good and there is no obvious redness, swelling and exudation from the wound, the patient can be discharged and is instructed to always wear a good cervical brace. 5)6 weeks after surgery, cervical spine x-ray examination is performed, and there is no obvious change when compared with the original film, the cervical brace is removed and light functional exercise of the cervical spine is started, including rotation and flexion and extension activities, but the range must not be too large. 6) 12 weeks after surgery, after re-examining the cervical spine x-ray film again, and there is no obvious abnormality, the patient can return to the preoperative working condition. 7) 1 year after surgery, the patient will come to the hospital again for review and perform cervical spine x-ray and hyperextension-hyperflexion position film, and compare with the original film, and pay attention to observe whether there are obvious changes in the operated segment and adjacent segments. 8) After 1 year postoperatively, the patient was instructed to consider re-examination as appropriate.