procedure used in treatment of degenerative cervical radiculomyelopathy, and the use of spinal cages with auto graft helps in increasing foraminal height, and regaining the lordotic cervical curvature, besides it gives high rate of fusion with less complications. Objective: The aim of this study is to evaluate the safety and efficacy of three and four levels ACDF with PEEK cages only without plating, and to assess the clinical and radiologic outcome. Study design: This non randomized non controlled clinical trial case series of seventeen patients, their aged 42 to 73 years of age with cervical degenerative radiculomyelopathy who were treated with three or four ACDF with PEEK cage fusion which were done at Neurosurgery department of Benha University hospitals during the period from 2011 to 2016, With mean follow up 18.6 months. Methods: Ten males and seven females, of them four cases with cervical spondylotic myelopathy, and thirteen cases with radiculopathy were included. Patients were clinically evaluated using visual analogue score (VAS) for pain and neck disability index (NDI), and radiologically evaluated for neck curvature, fusion rate in lateral radiographs. Results: Five cases underwent four levels ACDF, and twelve cases underwent 3 levels ACDF with a total of 56 levels operated upon. As regard clinical state there was a statistically significant improvement in VAS in neck and arm pain (P