Most patients with cervical spinal stenosis should be treated surgically, and after surgery, most of them can obtain satisfactory results. The surgical procedure for cervical spinal stenosis is generally divided into anterior cervical spine surgery, posterior cervical spine surgery, and in severe cases, combined anterior and posterior access surgery may be used, and the surgical procedures are as follows: 1. Anterior cervical spine surgery: removal of the anterior intervertebral disc or the posterior edge of the vertebral body, removal of the posterior intervertebral space and implantation of an intervertebral fusion device, and fixation of the anterior side with a titanium plate. Now you can also do zero-cut intervertebral fusion, there is no steel plate in front of the cervical spine, not to have an impact on the esophagus, otherwise due to the thickness of the plate, some patients may lead to swallowing difficulties, pharyngeal discomfort, zero-cut intervertebral fusion is not easy to cause esophageal irritation, pharyngeal discomfort. For patients with a larger scope, a subtotal resection of the vertebral body can be done from the front to obtain extensive spinal cord decompression, and the space after resection can now be implanted with titanium mesh, which is filled with autologous bone, and a few can be filled with allogeneic bone, and then resected with a long titanium plate in front, or multiple segments of the disc and vertebral body can be subtotally resected, like a combination surgery; 2. Posterior cervical spine surgery: the spinal canal is opened from the back to release the spinal cord from compression, and the rear The advantage of surgery is that the decompression range is very wide, basically not limited by the decompression segment, the front decompression segment is limited, generally can only do 2-3 segments, the current surgery is difficult, the patient’s neck activity is limited, posterior surgery can do extensive decompression. At present, the most commonly used is the single-opening spinal canal enlargement surgery, after the canal is opened up with appropriate fixation methods, you can use the anchoring method, support plate method, retain the muscle ligament complex method, maintain the position of the vertebral plate, keep the canal open, so that the spinal cord can be fully decompressed, neurological function can be significantly improved, the symptoms are well recovered.