Age related degenerative changes in cervical spine are called cervical spondylosis. These degenerative changes that result in compression and inflammation of the neural structures reflect as radiculopathy, myelopathy and neck pain. The chronic compression causes persistent neurological and radiological changes, become irreversible, and at the same time neurological deterioration is seen. In pathophysiology, direct compression leads to vascular insufficiency, and clinical worsening. Although there are different opinions in the treatment of cervical spondylotic myelopathy and radiculopathy, main discussion is about timing of surgery.