Surgical treatment of cervical spondylosis has been carried out in China for many years, and satisfactory clinical results have also been achieved. However, cervical spondylosis here mainly refers to the cervical spondylosis clinically known as spinal cord type and nerve root type, which mainly manifests as symptoms of spinal cord compression such as numbness and weakness of limbs, clumsiness of hands, feeling of thoracic and abdominal girdle, unsteadiness of walking, feeling of stepping on cotton, or symptoms of nerve root compression such as radioactive numbness or pain of one upper limb. The diagnosis and treatment of the above two types of cervical spondylosis are relatively clear and recognized by most spine surgeons. In contrast, sympathetic cervical spondylosis, a common type of cervical spondylosis in clinical practice, is not well understood or even recognized due to the complexity of its symptoms and the uncertainty of its efficacy, therefore, most patients with sympathetic cervical spondylosis have been treated conservatively with unsatisfactory clinical results, and surgical treatment is rarely carried out at home and abroad. The so-called sympathetic cervical spondylosis refers to patients manifesting sympathetic syndrome with complex and diverse symptoms, often manifesting as dizziness, scalp numbness, occipital pain, discomfort at the back of the neck, often accompanied by paroxysmal palpitations, chest tightness and breath-holding, some patients experiencing blurred eyes, blurred vision, stomach discomfort, even nausea and vomiting, persistent hiccups, and some patients manifesting tinnitus as well as paroxysmal increase in blood pressure. Therefore, cervical spondylosis is very easy to be misdiagnosed as heart disease such as coronary heart disease, neurological disorders such as cerebral infarction, ophthalmological disorders such as vitreous clouding, otorhinolaryngological disorders such as Meniere, surgical disorders such as gastrointestinal disorders, and even some patients are misdiagnosed as mental disorders. Not only do the patients themselves feel very painful, but also their families and society are adversely affected. Up to now, there is no clinically recognized method for diagnosing and treating sympathetic cervical spondylosis, and many scholars and spine surgeons at home and abroad have been studying and exploring it intensively. The cervical spinal cord includes not only sensory and motor nerves, but also sympathetic nerves. Therefore, if the cervical spinal cord is compressed, the patient may experience sensory and motor disorders, and of course, sympathetic syndrome, i.e., dizziness, panic attacks, tinnitus, paroxysmal hypertension, and other symptoms. Therefore, the sympathetic syndrome symptoms mentioned above are actually related to the compression of the cervical spinal cord, and the symptoms are likely to improve if the spinal cord is surgically released from compression. Although the pathogenesis of sympathetic cervical spondylosis is not well understood, the above-mentioned view has been tentatively confirmed by clinical practice. The surgery is performed by regional anesthesia of the cervical plexus, and a small incision is made through the anterior approach to enter through the muscular space, scraping the protruding disc and the hyperplastic bone and posterior longitudinal ligament at the posterior edge of the vertebral body, decompressing the spinal cord, and then implanting an intervertebral fusion device made of polymer material in the corresponding vertebral space for fixation and fusion, which can be permanently placed in the human body without rejection, requiring no secondary surgery to remove it, and not affecting the postoperative MRI. MRI, and is a minimally invasive surgery, the surgical incision is only 2-3cm, and can be covered by the transverse lines of the skin in front of the neck, does not affect the appearance, the operation time varies according to the number of diseased segments, generally 40-90 minutes, the bleeding volume does not exceed 50ml, the patient can walk on the day of surgery, most patients immediately improve 80% of the symptoms, headache, chest tightness, chest pain, scalp numbness and limb numbness The symptoms such as headache, chest tightness, chest pain, scalp numbness and limb numbness completely disappeared, and the symptoms such as dizziness and panic were significantly reduced. Then, the effect of surgical treatment is sure, also minimally invasive surgery, and the recovery after surgery is also fast, but one of the most critical and difficult problems is how to correctly diagnose sympathetic cervical spondylosis. First, understand the clinical symptoms of the patient. If the patient shows the symptoms of sympathetic syndrome mentioned above or some of them, and if they are accompanied by neck discomfort or pain and stiffness, sympathetic cervical spondylosis is highly suspected. Next, if the patient undergoes cervical orthogonal and lateral radiographs and cervical magnetic resonance imaging (MRI), the diagnosis is basically clear if there is obvious compression of the spinal cord, mostly from the anterior intervertebral discs or bone spurs at the posterior edge of the vertebral body and ossified posterior longitudinal ligaments, and if it is accompanied by symptoms such as pain, numbness and weakness of the extremities and unsteadiness in walking. Of course, when the diagnosis is not clear, it is sometimes necessary to exclude neurology, cardiology, otorhinolaryngology, ophthalmology and other related departments. After the diagnosis is clear, the first step is to determine whether the patient also has symptoms and signs of spinal cord cervical spondylosis, and if there are symptoms of spinal cord cervical spondylosis such as numbness and weakness of the limbs and unstable walking, surgery should be used as soon as possible. If the symptoms and signs of spinal cord cervical spondylosis are not accompanied, conservative treatment should be used first, including rest, improvement of prolonged head bowing and desk work, physical therapy, insistence on doing cervical exercises and drugs for improving the corresponding symptoms, etc. If strict conservative treatment is not effective, surgery can be used. In conclusion, surgical treatment of sympathetic cervical spondylosis has achieved initial satisfactory clinical efficacy, and its treatment prospect is encouraging.