Cervical spondylotic myelopathy (CSM) is the result of prolonged compression of the central spinal canal. Clinical and radiological manifestations of CSM could be misleading and physicians need to be vigilant while evaluating patients with neurologic complaints otherwise delay in diagnosis and management would happen that could finally lead to a poor outcome. The aim of this study was to report our series of patients with CSM to reiterate that CSM could have diverse manifestations, and it can be only identified if the physicians are aware and do a thorough investigation. The progressive nature of CSM makes its early diagnosis and subsequent appropriate management vital to avoid further complications. A total of 10 patients who had diagnosed with CSM and undergone surgical treatment at our institute evaluated according to the pre-operative and post-operative Nurrick classification and also pre- operative history and physical examination findings and elecrodiagnostic examination. Because of progressive nature CSM and wide range of clinical manifestation, high index of suspicion, early diagnosis and early treatment prior to permanent spinal cord injury is recommended.