This procedure, therefore, finds its most correct indication in all those forms of extrinsic compression of the cervical nervous structures (medulla and roots), caused by the exuberant arthritic disc and marginal-somatic degeneration; this condition, when accompanied by a deficient neurological symptomatology, is defined as cervical spondylogen myelopathy. The technique can also be extended to selected cases of important ankylotic modifications of the physiological cervical lordosis. Only through an anterior approach, in fact, and with the removal of large segments of degenerated vertebrae, it is possible to recover a more correct shape of the spine. This last aspect is very important in the genesis of multiple situations of cervical pain, often accompanied by a dizzying accessory symptomatology up to balance difficulties. In summary, cervical somatectomy is a certainly complex technique that requires a long learning curve on the part of the operators, but able to offer the surgeon the real possibility of an effective remodeling of the diameters of the cervical spinal canal and to restore the physiological harmony of the cervical spine.