Neck pain is the primary symptom of cervical spondylosis, yet its underlying mechanisms remain unclear, leading to uncertain treatment outcomes. To address the challenges of multimodal feature fusion caused by imaging differences and spatial mismatches, this paper proposes an Adaptive Bidirectional Pyramid Difference Convolution (ABPDC) module that facilitates multimodal integration by exploiting the advantages of difference convolution in texture extraction and grayscale invariance, and a Feature Pyramid Registration Auxiliary Network (FPRAN) to mitigate structural misalignment. Experiments on the MMCSD dataset demonstrate that the proposed model achieves superior prediction accuracy of postoperative neck pain recovery compared with existing methods, and ablation studies further confirm its effectiveness.