Cervical spondylosis is mostly associated with underlying pathological changes of straightening of the physiological curvature of the cervical spine, or cervical spine osteophytes. Sympathetic cervical spondylosis is mainly due to these lesions stimulating sympathetic excitation around the cervical spine, producing clinical symptoms related to panic, chest tightness, easy sweating, irritability, etc., and provided that cardiac disease has been ruled out. Vertebral artery type cervical spondylosis is a disease with dizziness, nausea and vomiting as the main clinical symptoms due to narrowing of the vertebral artery and insufficient blood supply to the brain based on the basic lesion of the cervical spine. The difference between the two diseases can be identified by clinical symptoms, and clinically, vertebral artery cervical spondylosis is more common than sympathetic cervical spondylosis, and most of them can be relieved by conservative treatment methods.