Background: Cervical kyphosis can occur secondary to various underlying etiologies including: advanced degenerative disease, iatrogenic, trauma, neoplasm, infection, and systemic arthritis ,Purpose: This study aimed to compare the degree of cervical kyphosis correction between anterior and posterior approaches from clinical assessment, functional outcomes using VAS (Visual Analogue Scan) & NDI (Neck Disability Index) scores; radiological measurement’s using modified Cobb method (mCM), complications and failure of correction of both anterior and posterior approaches. Patient and methods: This was a prospective randomized comparative study with a total number of forty consecutive patients diagnosed with either degenerative cervical kyphosis with radiculopathy or myelopathy undergoing either anterior cervical interbody discectomy and fusion or posterior laminectomy and lateral mass fixation using simple randomization as first 2 patients did anterior and second 2 patients do posterior surgery in Kasr Al Ainy hospital, Cairo University and Al Haram Hospital between August 2018 and March 2020, Results: There was a highly significant decrease in terms of VAS neck between preoperative and postoperative (at 1, 3, 6 months and at the one-year follow-up) measurements (P<0.001) in both groups. Conclusion: both methods anterior and posterior approach are effective in treatment of multiple degenerative cervical disc disease accompanied by cervical kyphosis but anterior approach is better concerning sagittal alignment, degree of correction, blood loss, hospital stay, clinical and functional improvement and lower rate of correction lossbut it carries a little bit higher rate of complications.