Presentation is made in this report on 22 cases of cervical lesion and concomitant lumbar lesion. All patients required either or both surgery. Thirteen were treated with cervical decompression or fusion alone. Three patients underwent lumbar operation alone. Seven patients underwent both cervical and lumbar operations. Cervical operation often resulted in improvement in lumbar symptoms with resolution of pain and sensory deficts of myelopathic origin. In the patients with coexisting cervical and lumbar lesion, we suggested that cervical operation preceedes lumbar one.