Acute cervical disc herniation is defined as acute onset with corresponding complaints and clinical manifestations of spinal cord or spinal nerve root compression; imaging confirms the presence of a ruptured or herniated disc and shows signs of compression of the cervical medulla or nerve roots. For those who have recurrent episodes, who have failed non-surgical treatment, or who have symptoms of spinal cord compression, early surgical treatment should be performed. Surgery is based on the anterior cervical decompression, removal of the herniated disc, and intervertebral bone graft fusion. In recent years, after removal of the herniated disc in the anterior cervical approach, internal fixation with various types of Cage or anterior plate and screw system has become a more popular surgical method for the treatment of cervical disc herniation. Two cases of acute cervical disc herniation surgical treatment are introduced Case 1: A 47-year-old male patient with pain and numbness in the neck and shoulder and both upper limbs with no obvious cause six months ago, who did not care at that time, but the symptoms gradually worsened, resulting in limited movement of the neck and shoulder and both upper limbs due to pain, and the pain could be aggravated by postural discomfort. In the past 1 week, the above symptoms worsened, and there was unstable walking with a feeling of stepping on cotton in both lower extremities, so he was admitted to the hospital in an emergency with “cervical disc herniation”. Physical examination: cervical spine movement was limited, pressure neck test and pull test of both upper limbs (+); pinprick sensation of both upper limbs and left lower limbs was decreased. The grip strength of the left hand was grade 3, the muscle tone of the left lower limb was increased, and the muscle strength of the remaining muscles was normal. The left Hoffman’s sign (+), bilateral biceps reflex, triceps reflex and radial aponeurosis reflex were hyperactive. The knee tendon reflex and Achilles tendon reflex were hyperactive bilaterally; bilateral ankle clonus (+). After admission, he was given an anterior cervical C5-C6 decompression, intervertebral Cage placement and titanium plate fixation and fusion under general anesthesia. The preoperative symptoms completely disappeared. Case 2: A 49-year-old female patient was admitted with neck and shoulder pain for 2 years, aggravated with numbness and pain in the left upper limb for 2 weeks. On examination: cervical spine movement was limited, neck compression test and left upper limb pull test (+); radiating pain in the left upper limb when the neck was posteriorly extended, hyperactive biceps tendon reflexes bilaterally and hyperactive knee tendon reflexes bilaterally. After admission, he was given an anterior cervical C6 subtotal dissection with titanium mesh and titanium plate fixation and fusion under general anesthesia. The preoperative symptoms completely disappeared.