(A) first aid and handling spinal cord injuries sometimes combined with serious cranio-cerebral injury, chest or abdominal organ injuries, vascular injuries to the extremities, endangering the lives of the injured should be the first rescue, suspected spinal fractures, the patient’s spine should be kept in a normal physiological curve, do not make the spine for over-extension, over-flexion handling movements, should make the spine in the case of non-rotational external force, three people with hands at the same time flat lift flat to the board, when there are few people The patient with cervical spine injury should have a person to support the jaw and occipital bone, and slightly increase the traction along the longitudinal axis to keep the neck in a neutral position. After the person placed on the board with sandbags or folded clothes on both sides of the head and neck to prevent the head from turning, to keep the airway open. Yan Jiazhi, Department of Orthopedics, Beijing Tiantan Hospital (B) Common surgical methods for treating spinal fractures There are many surgical methods for spinal fractures, and the best surgical method should be chosen according to the specific fracture. However, there is a common principle among the different surgical approaches, namely, decompression, internal fixation, and bone graft fusion. All surgical approaches fall into two broad categories; anterior spinal decompression with internal fixation and posterior spinal decompression with internal fixation and fusion. Depending on the type of spinal fracture and the spinal cord compression, the following surgical procedures are commonly used: 1. The anterolateral approach to the spine removes the fractured vertebral body and the fragmented bone that is compressing the spinal cord, takes the rib or iliac bone and fuses it with a bone graft. 2.Posterior approach through the spine, the spinal canal decompression, plate or steel rod internal fixation, commonly used internal fixation devices are Luque device, TSRH device. 3.Posterior approach through the spinal column, decompression of the spinal canal, placement of screws and internal fixation devices through the pedicle to achieve the purpose of spinal repositioning and internal fixation. Commonly used internal fixation devices are Dick device, R-F device, etc.. These devices can only provide temporary fixation, and lasting fixation depends on the iliac bone extraction and fusion of bone graft.