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One hundred consecutive patients of cervical spondylosis and 100 asymptomatic subjects were studied both clinically and radiologically. There was male preponderance and the degenerative process started in third decade but most of the patients (79 percent) belonged to fourth decade or above. Patients presented with pain in neck (46 per cent), radiculopathy (46 per cent) and myelopathy (8 per cent). The incidence of abnormal curvature of cervical spinal column (straightening or kyphosis), osteophytosis in general and at each level of the vertebra was significantly more among patients than control. Associated congenital anomalies of cervical were more among patients.