Hi there. Vertigo has a lot of causes which are divided into peripheral i.e. related to the balance system inside the ear and central,  i.e., related to the brain. A detailed evaluation will be required for proper diagnosis and treatment. Cervical spondylosis is another thing that needs to be addressed. Although the image quality is not very good, X ray looks normal grossly

Spondylosis does not cause vertigo. It may cause radiating pain in hands.

Take vertin 8 mg bd for 5 Days only

Need detailed history and evaluation with all reports Need details about your symptoms You need proper treatment