According to the clinical classification of cervical spondylosis, there are four types: neurogenic, spinal cord, vertebral artery and sympathetic nerve type. In terms of the surgical route, cervical spine surgery is divided into anterior surgery, anterolateral surgery and posterior surgery: 1. Anterior surgery: surgery performed through the anterior cervical incision and access, which has two effects of decompression and stabilization of the spine, i.e., through the vertebral space where the disease develops, drilling or cutting the bone from the front of the vertebral body, removing the degenerated and protruding disc from the bone hole, and even removing the bone superfluous at the posterior edge of the vertebral body, in order to release the compression on the spinal cord and nerve roots. A bone graft is then placed in the cavity to fuse the cervical segment to enhance spinal stability. Multiple discs can be removed and fused together in the same procedure. Anterior surgery has the advantages of minimal surgical trauma, removal of discs and bones without direct interference with the spinal cord, simultaneous intervertebral bone grafting, removal of dynamic factors of spinal instability, minimal postoperative interference with function, and rapid recovery. The disadvantage is that the lesions in the spinal canal cannot be seen under direct vision, the scope of surgery is limited, and the removal of bone superfluities is not easy to complete, which is not suitable for patients with developmental spinal stenosis; 2. 3. Posterior surgery: It is a surgery performed through a posterior cervical incision, which has the advantages of clarifying the site and nature of the lesion under direct vision and adequate decompression. The purpose of posterior surgery is to expand the sagittal diameter of the spinal canal, release the compression on the spinal cord, improve blood circulation, expand the posterior wall of the intervertebral foramen, and release the compression on the nerve roots, including various laminectomies, laminoplasty, arthrodesis, etc. However, posterior surgery has complicated anatomical structures, is difficult to operate, is more destructive, and is prone to postoperative spinal instability, and the postoperative bone window scar can continue to compress the spinal cord. In conclusion, for different patients with cervical spondylosis, different surgical methods can be adopted according to different needs. As long as the indications are strictly mastered, good surgical results can generally be received.