Objective To remove osteophyte via anterior approach, and provide references for future diagnosis and treatment. Methods Diagnosis was based on clinical and imaging examinations. Anterior cervical spine surgery was performed. We consulted related literature and provided scientific evidence for the diagnosis and treatment. Results Osteophyte was removed by the surgery. Postoperative X-ray showed that the osteophyte was basically removed. Dysphagia and foreign body sensation were relieved 2 days postoperatively. Follow-up ranged 6 months and the prognosis was good. Conclusions Diagnosis of esophageal cervical spondylosis depends on clinical manifestations and imaging examinations and needs to exclude other diseases. Surgical approach is effective if conservative treatment fails.