Reported is a patient who had severe dysphagia caused by cervical osteophytes. Both of the cervical vertebral spurs were excised, and anterior interbody stabilization was unnecessary. In the diagnosis of such patients, esophagoscopy is recommended, but it must be done with extreme care because of the increased risk of esophageal perforation. Treatment may consist of reassurance and a trial of anti-inflammatory agents if the symptoms are minimal, but definitive treatment, usually associated with complete recovery, is surgical excision.