In the clinic, I have contacted many patients, and a large number of them often say, “Doctor, I have cervical spine osteophytes and cervical spondylosis, what should I do? What should I do?”. For example, patients with neck discomfort go to the hospital, have a film taken, report osteophytes, and even some non-spine surgery professionals explain that they have cervical spondylosis. Also, various “miracle” drugs for “osteophytes” are being advertised all over the place! The word “osteophyte” is known to everyone, and what surprised me even more was that once a young man under 20 years old asked expectantly during a consultation, “Do I have osteophytes?” So, what is osteophytes all about? In fact, osteophytes are not terrible. Cervical spine osteophytes is a natural physiological changes in the human body, is a degenerative changes, commonly known as “aging”, just like human hair, to a certain age will become white, and each person appears white hair age is not the same. People generally start to have some degeneration in the neck after the age of 40, especially people who often work with their heads down, it is possible that osteophytes appear at this time. The hyperplasia itself is a manifestation of cervical degeneration and does not necessarily mean a disease, to the vertebral canal bone growth and compression of the nerve or spinal cord associated with cervical spondylosis, most of the osteophytes do not cause cervical spondylosis, we say that cervical spondylosis must not be equated with osteophytes. Simple osteophytes do not need to be treated, and medication cannot eliminate them. Unless the osteophytes occur more seriously, especially with intervertebral disc changes, which cause the spinal nerve or some vascular effects as mentioned earlier and cause clinical symptoms, then it constitutes a disease and needs some corresponding treatment. In some cases, including cervical spine surgery, the bone spur is not taken care of. The impact that the bone spur really constitutes is very little, and most of it is due to the intervertebral disc causing these structures. In a sense, especially in foreign countries, osteophytes are a self-protection mechanism of the cervical spine. When the intervertebral disc degenerates and the intervertebral height decreases, the mobility of the cervical spine in this segment increases, even beyond the normal physiological mobility, reaching “instability “. In this environment, the cervical spine will appear osteophytes, and eventually stabilize the activities of this segment through hyperplasia. There are many elderly people who are good examples of this, sometimes after the doctor feels that the osteophytes have reached an alarming degree, but they have no symptoms. I hope that the above explanation can help lift the burden of thought for friends who have been troubled by “osteophytes” for a long time!