In older patients with multiple level disc degeneration the spinal cord may get compressed. This condition is called cervical myelopathy. This may also occur due to ossification of posterior longitudinal ligament.In cervical myelopathy, the earliest symptoms are clumsiness while walking. There is spasticity in lower limbs and it may result in loss of bladder and bowel control. MRI scanning is investigation of choice in both the above conditions. Cervical radiculopathy can be treated non-operatively with traction, exercises and analgesics. If non-operative treatment fails surgery is indicated in these conditions. Surgical options include anterior cervical discectomy and fusion or cervical disc replacement . Cervical myelopathy usually needs surgical intervention. The spinal cord is either decompressed from the front by removing the compressing disc or vertebrae and stabilising with bone graft and plates or from the back by doing laminectomy or laminoplasty.