Cervical spondylosis is a common disease among middle-aged and elderly people. According to statistics, cervical spine osteophytes account for 50% of people over 50 years old and 75% of people over 65 years old, which shows the prevalence of this disease. Why is the incidence of cervical spondylosis so high? This is because the cervical spine is one of the most mobile parts of the human spine, and long-term activities and strain are likely to cause degenerative changes, which often originate in the intervertebral disc. The prolapsed disc tissue, the hyperplasia of the intervertebral joints and the hypertrophy and fibrosis of the soft tissues near the intervertebral foramen, as well as the bone ridge and vertebral plate at the posterior edge of the vertebral body or the hypertrophy of the ligamentum flavum can compress the nerve roots and spinal cord, resulting in a series of symptoms, which can cause discomfort and pain in the neck and shoulders and radiating pain in the upper limbs in the mild cases, and can lead to abnormal sensation, weakness in the lower limbs, unstable walking, and even paralysis in the severe cases. Therefore, cervical spondylosis has become a big problem for the majority of patients. For patients with persistent or progressive aggravation of symptoms and obvious neurological dysfunction, and then after the diagnosis is confirmed by imaging examination, those who are ineffective after 3-6 months of non-surgical treatment should consider surgery. Currently, there are many surgical methods, including anterior cervical discectomy and fusion, posterior cervical laminectomy and canal enlargement, as well as foramen opening and synovectomy. However, there are many disadvantages of these procedures, including damage to the spinal cord and nerve roots, prolapse and non-fusion of the bone graft, accelerated degenerative changes in the adjacent vertebral space, and in some cases, deformation of the cervical lordosis, which causes new injuries and aggravates the patient’s pain. The cervical spondylosis treatment surgery: microdecompression + artificial disc replacement, currently carried out by the Department of Neurosurgery of Shengjing Hospital of China Medical University, has solved the above problems very well. In order to better understand the advantages of this treatment method, we must first clarify that the core of spinal surgery can be summarized in two main parts, namely decompression and fixation. Neurosurgeons are uniquely positioned to handle spinal cord and nerve decompression because of their superior microsurgical skills and their different training backgrounds and greater understanding of the anatomy and physiology of the nerves. It has also been reported that the number one reason for poor surgical outcomes in cervical spine disease is incomplete decompression, and neurosurgeons have confirmed that they can fully utilize their expertise in this area. Microdecompression is the maximum solution to the problem of incomplete decompression, while artificial discs are more in line with the biomechanics of the human body, solving the damage to the mechanical structure of the spine, and only the perfect combination of these two points really avoids the occurrence of appeal complications at the root. At present, many large neurosurgical treatment centers in Beijing and Shanghai have successfully carried out many cases of this kind of surgery, achieving good social and economic benefits, truly achieving minimally invasive treatment of cervical spondylosis, relieving the pain and bringing the gospel to the majority of patients.