Cervical spinal tumor with large lateral extension is usually removed through posterolateral approach and rarely through anterolateral approach. A young man presented with neck pain and brachialgia. Cervical spinal MRI showed a intraspinal tumor with huge extraforaminal paraspinal extension. We removed the tumor through anterolateral (interscalene and transforaminal) approach. Post operatively patient recovered from his sufferings and returned to normal life. Here we report the case along with operative technical aspects.