Neurofibromatosis, being found as one incident in 2500-3000 births, is a genetic disease that involves either skin system, nervous system or both systems simultaneously and that leads to important cosmetic and functional disorders. Although, cervical cord compression is not frequently found in nervous system compression, nevertheless, it takes a very important place since it may lead to severe neurological deficits and it may be treated by combination of surgical intervention with physical medicine and rehabilitation in early stage. There are not many treatment options in the advanced cases. In our study, we aimed to discuss treatment approaches by evaluating a patient with complex case of neurofibromatosis in whom whole spinal cord is full of neurofibromas accompanied by cervical cord compression.