Objective:　To　observe　and　analyze　the　mid-term　efficacy　of　percutaneous　laser　disc　decompression　(PLDD)　for　the　treatment　of　cervical　vertigo.　Methods:　Thirty-five　patients　with　cervical　vertigo　were　admitted　from　September　2002　to　December　2006,　including　14　males　and　21　females,　aged　between　35　and　79　years　with　an　average　of　59.1　years.　All　patients　were　treated　with　PLDD　by　the　Nd:YAG　laser　therapy　(wavelength:　1,064　nm)　and　were　followed　up.　The　improvement　of　vertigo　and　associated　symptoms　was　evaluated　by　numerical　rating　scale　(NRS)　assessment,　while　fineness　rate　and　efficient　rate　were　evaluated　using　modified　MacNab　assessment　criteria.　Results:　No　intraoperative　and　postoperative　complication　was　reported.　The　patients　were　followed　up　for　24-66　months.　At　the　end　of　the　follow-up,　the　average　NRS　scores　of　the　dizziness　and　complications　are　significantly　smaller.　The　overall　efficacy　was　evaluated　based　on　modified　MacNab　criteria:　excellent,　18　cases;　good,　7　cases;　acceptable,　5　cases;　and　poor,　5　cases.　No　statistical　difference　existed　between　age　groups　(P　＞　0.05)　and　also　between　gender　groups　(P　＞　0.05).　Conclusion:　PLDD　treatment　of　cervical　vertigo　trauma　has　many　advantages,　such　as　minimal　trauma,　high　safety,　and　satisfactory　mid-term　efficacy　with　no　significant　difference　in　clinical　efficacy　between　different　age　and　gender　groups.　©　2013　Springer-Verlag　France.