I am a 43 yr old female w/ complex, multilevel facet and disc issues in my cervical spine from C3-T1 (the C7-T1 literally just popped up in my CT I had done about a month ago, where MRI in May mentions no problems) - I do have (typing from CT and MRIs) cervical spondylothesis torticolis and reversed lordotic curvature w extensive facet arthropathy multilevel cervical degenerative disc and facet diseases and desiccation, degenerative subluxation, cervical spinal stenosis & radiculopathy, autoimmune conditions, Mixed Connective Tissue Disorder (although medical community states this is not as extreme as full blown Lupus/RA, I beg to differ & call it “Super Lupus”), Hashimotos, Vertigo, Small Fiber Neuropathy & additional neurological impacts that show no active lesions etc, but feel dizzy, vision problems, balance, etc. - I’ve had pain mgmt treatments of ablation at every level in my cervical spine as well as 1 steroid epidural but since no relief, the pain mgmt doc stated he wasn’t going to proceed w/ the second one and referred me back to a physical therapist (which I already undergo Vestibular Therapy weekly) - I saw a neurosurgeon who recommended the same exact procedure you mention - ACDF at all those levels - you make it sound like it’s actually not as bad of a surgery option as my brain is telling me it is - what is your ROM? Able to look up, down side to side (without feeling dizzy and pass out or fall over? - when i look up or down for more than 1 sec, i feel like I’m being strangled and asphyxiated - which the neuro surgeon said is because my cord is actually being pinched at multiple levels anyway and when I do that motion, it’s restricting it even more. My uncle has had horrible neck problems - different but still bad - and had decompression therapy and said it was life changing, but no one has seemed to offer that as an option to me - so looking for any and all possible non-surgical options 1st, would that be one for me in your opinion? Or if you were me, the full ROM restored and pain constantly was removed after your surgery, so you’d do it again in a heartbeat?! Thank you so much for your thoughts!!! Your initial response and explanation was spot on and what i needed in layman’s terms!