Anterior cervical diskectomy and fusion (ACDF), first described by Robinson and Smith1in the 1950s to treat radicular symptoms, has been a very successful procedure as evidenced by the frequency of its use. The clinical evaluation of patients with cervical degenerative disorders requires interpretation of patient symptoms, meticulous physical examination, and appropriate selection of diagnostic tests. A useful approach for the clinician is to categorize the symptoms and findings as axial neck pain, radiculopathy, myelopathy, or some combination of the three.