SummaryThe purpose of this article is to review the application of two techniques in the treatment of multilevel cervical spondylosis. Multiple level anterior cervical discectomy fusion (ACDF) and cervical corpectomies are effective for decompression and stabilization of the spondylitic spine. Each operation has advantages and drawbacks though, and appropriate patient selection is critical to successful outcome while minimizing complications. This review examines the perils of the anterior cervical approach and the indications and controversies of multiple ACDFs versus corpectomy. An overview of our most updated techniques for both operations is also presented.