To retrospectively summarize the imaging features and curative effect of patients with cervical spondylosis treated by cervical rotation-traction manipulation.Methods:A total of 500 patients who were diagnosed with cervical spondylosis(except cervical spondylotic myelopathy) and treated with cervical rotation-traction manipulation in the Second Department of Spinal Surgery of Wangjing Hospital of China Academy of Chinese Medical Sciences from April 2016 to April 2021 were collected.The general data，imaging features(X-rays，CT or MRI)，as well as the curative effect，course of treatment and safety of the patients were retrospectively analyzed.Results:Among the 500 patients，there were 171 males and 329 females aged 17～82 years，with an average of(52.17±12.84) years.Neck type cervical spondylosis，cervical spondylotic radiculopathy，vertebral artery type of cervical spondylosis，and mixed type of cervical spondylosis accounted for 5.60%，62.60%，10.40%，and 21.40%，respectively.The proportions of abnormal curvature and cervical spine instability by X-ray diagnosis were 96.00% and 47.00%，respectively; the proportions of cervical disc herniation，cervical spinal stenosis and posterior longitudinal ligament ossification by CT diagnosis were 86.12%，48.98%，and 22.86%，respectively; cervical disc herniation and cervical spinal stenosis by MRI diagnosis accounted for 96.18% and 54.60%，respectively.The effective rate of cervical rotation-traction manipulation on neck type cervical spondylosis，cervical spondylotic radiculopathy，vertebral artery type of cervical spondylosis，and mixed type of cervical spondylosis was 96.43%，96.17%，98.08%，and 96.26%，respectively，and the cure rate was 17.86%，15.65%，17.31%，and 14.95%，respectively.The course of treatment was 7～23 days，with an average of(13.553.06) days.No adverse reaction occurred in the 500 patients.Conclusion:Abnormal curvature and cervical disc herniation are the main imaging manifestations of cervical spondylosis.Cervical rotation-traction manipulation is effective and safe in treating cervical spondylosis; especially neck type and vertebral artery type of cervical spondylosis.This method can be applied to patients without symptoms and signs of cervical spondylotic myelopathy but with cervical disc herniation，cervical spinal stenosis，and posterior longitudinal ligament ossification，and attention should be paid to patients' medical history as well as physical examination to rule out contraindications.