Tumors of the cervical spine are commonly encountered by neurosurgeons and spinal surgeons. Surgical decision-making relies upon the patient’s neurological and medical status, tumor pathology, tumor location, and other factors. The cervical spine allows for both anterior and posterior surgical approaches, both of which are familiar to experienced spine tumor surgeons and are influenced by neuromonitoring considerations. Given the critical functions of the cervical spine—such as breathing, movement, and sensation throughout the entire body—and its close relationship to vital non-neurological structures like the esophagus and airway, proper surgical management of these tumors is particularly important. Consequences of mishandling can be especially devastating. Proper intraoperative neuromonitoring during cervical spine tumor surgery is crucial to surgical success, aiding in the preservation of neurological function and patient safety.