Observed neurological improvement is the most compelling reason not to proceed with surgical treatment in favor of non-surgical management of CCS. These views can help determine whether or not a cervical collar or stabilizing cervical spine surgery is necessary. Flexion/extension plain X-rays can provide a simple means of determining dynamic (movement-related) stability or instability of the spinal column. Both the MRI and CT scan images are static images, meaning they do not evaluate movement. Flexion/extension views (moving the neck forwards and backwards) assist in the evaluation of spinal stability. X-rays of the spine delineate fractures and dislocations, as well as the degree and extent of arthritis type changes. X-ray: Application of radiation to produce a film or picture of a part of the body can show the structure of the vertebrae and the outline of the joints.Combined with MRI scans, it provides a more complete set of information for treatment decision making. It is usually performed prior to MRI scanning. It also shows shape and size of the spinal canal, its contents and the structures around it. CT or CAT scan: A computer-enhanced X-ray imaging device that shows boney detail superior to any other imaging device.MRI can also show ligamentous and soft tissue injuries that might be missed by other imaging tests. MRI: A diagnostic test that produces three-dimensional images of body structures using powerful magnets and computer technology can show direct evidence of spinal cord compression from bone, disc or hematoma.Evaluation of a patient with suspected CCS includes a complete medical history, thorough general and neurological examinations, cervical magnetic resonance imaging (MRI), computed tomography (CT) scan and plain cervical spine X-rays, including supervised flexion and extension views.