Abstract: [Objective] To explore the advantages of anterior decompression surgery in the treatment of cervical spinal cord injury without fracture or dislocation combined with cervical spondylotic myelopathy. [Method] A total of 144 cases of cervical spinal cord injury without fracture and dislocation combined with cervical spondylotic myelopathy were collected. According to different treatment methods, they were divided into anterior group, 51 cases, posterior group, 44 cases, and conservative group 49 cases. The recorded data included Cobb angle, horizontal displacement distance of vertebral body, improvement of nerve function, as well as intraoperative blood loss, operation time and postoperative complications. [Results] Comparing the improvement of nerve function, Cobb angle, and the change of vertebral horizontal displacement distance, after 3 months and 1 year of treatment, the effect of the two groups of patients in the anterior and posterior groups was significantly better than that of the conservative group, with statistical significance (P<0.05), the two groups of patients had statistically significant differences in blood loss, operation time and postoperative complications (P<0.05). [Conclusion] Anterior decompression surgery for the treatment of cervical spinal cord injury without fracture and dislocation combined with cervical spondylotic myelopathy can achieve a good therapeutic effect and has fewer complications.