Introduction & Objective: Degenerative changes of the spine as a result of genetic factors and aging, as well as environmental factors caused by a variety of people. Often encountered in clinical practice with patients at the same time in different areas of the spine with degenerative diseases as well as degenerative changes in the lumbar and cervical clinical studies have reported. Materials & Methods: This study, based on a study of prospective cohort of patients admitted to Sina hospital were the total number of patients studied population of 260 people, including 100 people spondylolisthesis 100 patients with lumbar stenosis and 60 patients suffering lumbar disc herniation during the period 2014 to 2016 met the inclusion criteria and were enrolled for all patients preoperative and 3 days postoperative questionnaires ODI & JOA was completed. in all patients undergoing MRI of the cervical and the results it by a radiologist and a neurosurgeon interpreted and patients based on the findings found MRI of the cervical two groups on the basis of standard scales of positive and negative cervical said, and the results were evaluated in three groups. Results: In patients with spondylolisthesis: The data indicated that variations of both standard JOA score and ODI before and after surgery in patients with negative cervical pathology than patients with positive cervical pathology, the more score improvement percent in cervical patients negative than positive cervical patients. In patients with lumbar stenosis: those with positive and negative pathology of the cervical region, the base of the JOA scores were significantly different from each other after surgery, patients with negative cervical pathology than patients with positive cervical pathology significantly with lower JOA scores were higher ODI data also showed that the improvement percent in patients with negative cervical higher than patients with positive cervical in patients with lumbosacral Disc herniation: In a survey conducted after the surgery, significant differences between the two groups in terms of JOA score and ODI not reported. Conclusions: Due to the above factors to better pre-operative area of lumbosacral and particularly in patients with spondylolisthesis and lumbar stenosis, and also in older people to study and prevention of postoperative neurological events and more satisfied elderly patients complained of symptoms imaging may also be cervical area performed.