Firstly, the diagnosis of cervical spondylosis is made by an orthopaedic surgeon in conjunction with imaging findings. Secondly, ordinary cervical spine X-rays can only look at changes in the bone structure of the cervical spine and do not show changes in the soft tissues or spinal nerves. Therefore, it is incorrect and unreliable to rely solely on cervical spine x-rays to diagnose cervical spondylosis. A diagnosis of cervical spondylosis can only be made with a combination of symptoms, physical examination and imaging (X-rays, CT films and MRI).