There are clinical cases in which the cervical spine MRI shows significant spinal cord compression but not severe symptoms, and in such cases the compression is often slow to develop and the spinal cord is compressed or even locally necrotic, but the nerves in the undamaged area are still compensated. However, the compensatory capacity is limited, and people are not always so lucky. Some patients with cerebral infarction are paralyzed at the first attack, but after the nerves in other areas are compensated and functional exercises are performed, some of them can stand and walk, but they are still not able to do so, and if another cerebral infarction occurs and the compensatory capacity is exhausted, they may never be able to stand up. The same is true for spinal cervical spondylosis. There is controversy about this condition, and different patients have different options, and doctors with different qualifications may have different options. Personally, I suggest that if the spinal cord compression is obvious but the symptoms are not severe, you can closely observe the elective surgery if you can avoid neck trauma; if there is no guarantee that no neck injury will occur causing sudden aggravation of spinal cord injury, you should decompress and release the spinal cord compression by surgery as early as possible to avoid regret.