The cement stabilized macadam base experiences tensile and compressive stresses simultaneously in the actual pavement structures, resulting in the influence of stress states on fatigue performance. In this paper, the fatigue performance of cement stabilized macadam was analyzed based on modulus decay considering the difference between compressive and tensile modulus. A synchronous measurement method of tensile and compressive modulus, which based on convention four-point bending test, was utilized to measure modulus of cement stabilized macadam...