Patient: Examination and laboratory tests: Compression fracture of the 7th cervical vertebra due to a car accident Compression narrowing of the spinal canal Treatment: At the beginning, the hands were very numb and painful and basically weak. After one month of conservative treatment, both hands could eat, read, and carry quilts on their own, but the strength was not fully restored, and there was still numbness and pain in both hands. Now the hospital told me that I need to have surgery or my hands may atrophy or even become paralyzed. Medical history: Is surgery necessary without medical history? If not, can I recover with conservative treatment? Or can I still have surgery if I don’t see more improvement with conservative treatment? Yang Dong, Department of Orthopedic Surgery, The First Affiliated Hospital of Nanchang University: There is no imaging data, but from your medical history, there is a fracture and spinal stenosis, with symptoms of nerve damage, and not fully recovered after 1 month. Surgery is strongly recommended. General anterior subtotal vertebral body resection + bone graft + plate internal fixation surgery. The surgery is very mature and the results are obvious. It is very helpful for nerve decompression and later recovery. Many patients after surgery, the nerve function is rapidly improved. Surgery as early as possible!!! Conservative results are not good and may worsen neurological symptoms in the long term.