Vertigo or dizziness is one of the three most common clinical symptoms and a persistent problem that has plagued millions of patients for many years. Although clinicians attach great importance to the diagnosis and treatment of vertigo, and many hospitals have set up special vertigo clinics for this purpose, the mechanism and cause of vertigo have been unknown, as well as the complexity of its symptoms and the uncertainty of its efficacy, therefore, most of these patients have been treated conservatively, and the clinical efficacy is not very satisfactory, and a large number of patients are suffering. Based on the research of our medical predecessors, we have discovered through years of clinical observation and practice that the symptoms of vertigo can be cured by cervical spine surgery to release the compression of the cervical spinal cord and stabilize the cervical spine, while the main cause of vertigo is caused by the compression or instability of the cervical spinal cord, i.e. sympathetic cervical spondylosis. The mechanism is as follows: the spinal cord of the cervical spine includes not only sensory and motor nerves, but also sympathetic nerves. Therefore, if the spinal cord of the cervical spine is compressed or stimulated, the patient may show sensory and motor disorders, and of course, sympathetic syndrome. If the spinal cord is surgically released from compression or irritation, the symptoms are likely to improve. This research has been published in one of the world’s most prestigious spine surgery journals, the American Journal of Spinal Cord. While cervical spondylosis is usually referred to as the spinal and radicular type of cervical spondylosis, there is another common type of cervical spondylosis, namely sympathetic cervical spondylosis, and vertigo or dizziness is the main symptom of sympathetic cervical spondylosis. The so-called sympathetic cervical spondylosis refers to patients manifesting sympathetic syndrome with complex and diverse symptoms, often manifesting as dizziness, scalp numbness, occipital pain, and discomfort at the back of the neck, while often accompanied by paroxysmal palpitations, chest tightness and breath-holding, some patients experiencing blurred eyes, blurred vision, stomach discomfort, or even nausea and vomiting, and persistent hiccups, and some patients manifesting tinnitus as well as paroxysmal elevation of blood pressure, therefore, sympathetic cervical spondylosis Therefore, sympathetic cervical spondylosis is easily misdiagnosed as heart disease such as coronary heart disease, neurological disorders such as cerebral infarction, ophthalmic disorders such as vitreous opacity, otorhinolaryngological disorders such as Meniere, and surgical disorders such as gastrointestinal dysfunction, and many patients have to run between various departments, which makes it difficult to get correct diagnosis and effective treatment. In serious cases, work and life are seriously affected, not only the patients themselves feel very painful, but also their families and society bring a lot of adverse effects. Surgical treatment of cervical spondylosis has been carried out in China for many years, and satisfactory clinical results have been achieved. However, surgery for sympathetic cervical spondylosis has rarely been performed at home and abroad because the pathogenesis is not well understood. However, since 2000, we have successfully operated on more than 30 patients with sympathetic cervical spondylosis, and all of them have had different degrees of relief of symptoms such as dizziness and panic before surgery, and some of them have completely disappeared. The operation is performed with local cervical plexus anesthesia, and a small incision is made through the anterior approach to enter through the muscular space, scrape off the herniated disc and the hyperplastic bone and posterior longitudinal ligament at the posterior edge of the vertebral body, perform spinal cord decompression, and then implant an intervertebral fusion device made of polymer material in the corresponding vertebral space for fixation and fusion, which can be permanently placed in the human body without rejection, requiring no secondary surgery to remove, and does not affect the postoperative MRI. The 2-3 cm surgical incision can be covered by the transverse skin of the anterior neck and does not affect the appearance. The operation time is generally 40 to 90 minutes, and the bleeding volume does not exceed 50 ml. Patients can walk on the ground on the day of surgery, and most of them have an immediate improvement of 80% of their symptoms, headache, chest tightness, chest pain, numbness of the scalp and numbness of the limbs disappear completely, and symptoms such as dizziness and panic are significantly reduced. Patients can recover and be discharged from the hospital after 3 days, and can resume normal work in a month. Up to now, there is no clinically recognized method for diagnosing and treating sympathetic cervical spondylosis, and many scholars and spine surgeons at home and abroad are in the process of research and exploration. The clinical diagnostic steps we have developed after clinical summary are as follows: First, we understand the clinical symptoms of the patient. If the patient shows the symptoms of sympathetic syndrome mentioned above or some of them, and if they are accompanied by symptoms such as neck discomfort or pain and stiffness, sympathetic cervical spondylosis is highly suspected. Next, if the patient undergoes cervical orthogonal and lateral radiographs and cervical magnetic resonance imaging (MRI), the diagnosis is basically clear if there is obvious compression of the spinal cord, mostly from the anterior intervertebral discs or bone spurs at the posterior edge of the vertebral body and ossified posterior longitudinal ligaments, and if it is accompanied by symptoms such as pain, numbness and weakness of the extremities and unsteadiness in walking. Of course, when the diagnosis is not clear, it is sometimes necessary to exclude neurology, cardiology, otorhinolaryngology, ophthalmology and other related departments. If there are symptoms of spinal cervical spondylosis such as numbness and weakness of the limbs and unstable walking, surgery should be used as soon as possible. If there are no signs and symptoms of spinal cord cervical spondylosis, conservative treatment should be used first, including rest, improvement of prolonged head bowing and desk work, physical therapy, insisting on doing cervical exercises and medication to improve the corresponding symptoms, etc. If strict conservative treatment is not effective, surgery can be used.