There are many causes of vertigo, and there are two main types of cervical spine-related diseases, one is sympathetic cervical spondylosis and the other is vertebral artery cervical spondylosis. The pathogenesis of sympathetic cervical spondylosis is mainly due to the cervical disc herniation or bone proliferation, causing sympathetic nerve stimulation and damage, thus causing patients to have dizziness, panic, tinnitus and a series of uncomfortable feelings, the treatment is mainly anti-inflammatory, braking, maintenance of the neck and appropriate exercise, etc., and can be done to close the high epidural, which can be used for diagnosis of the disease. The main mechanism of vertebral artery type is because there is hyperplasia in the cervical region, there is pressure on the vertebral artery, which causes narrowing of the vertebral artery when the cervical activity or inactivity, which affects the blood supply of the vertebral artery to the head, thus causing vertigo, the most typical symptom is that when the patient turns his head there is a sudden appearance of darkness, vertigo manifestations. In order to diagnose cervical spine related diseases, other diseases such as Meniere’s disease, otolithiasis and other related diseases should be ruled out before diagnosing vertigo caused by two cervical spine diseases.