Cervical flexion compression fracture: cervical fracture repositioning and internal fusion with vertebral implants The patient had neck pain and forced head position after the car accident injury. There was poor mobility of both hands and numbness in the arms. MRI showed a severe flexion compression fracture of the cervical spine. An anterior cervical discectomy, interbody fusion, and internal fixation with titanium plates was performed. Postoperative review MRI showed complete fracture repositioning and release of cervical medullary compression. Intraoperatively, the cervical spine was repositioned by retraction to avoid damage to the spinal cord and was fixed with a head clamp to obtain stability. The pain in the neck disappeared, the movement of both hands was restored, and the numbness was reduced. Case 3 Central cervical medullary injury syndrome: single-opening spinal canal enlargement of the cervical spine The elderly man developed quadriplegia after a fall and resumed activities of the lower extremities two days later, with complete immobility of the right upper arm and weakness in lifting the left arm, accompanied by numbness of both arms. After examination, surgical treatment was required to use head clamps in the hand to fixate the spinal cord, to reduce re-injury to the spinal cord, and to avoid damage to the compressed spinal cord triggered to some extent by vibration due to the use of a grinding drill during surgery. The patient had degenerative degeneration-induced spinal stenosis, and the injury triggered central spinal cord injury syndrome. The spinal cord was severely compressed, and the compression consisted of herniated and ossified discs and posterior longitudinal ligaments in the cervical 2, 3, and 4 planes. After posterior single-opening spinal canal enlargement, the spinal cord was completely decompressed. MRI intercepts showed a significant expansion of the spinal canal volume and space for the spinal cord anteriorly and posteriorly. The decompression effect was good. Two weeks after surgery, the muscle strength of the upper arm was partially restored, and the numbness of the arm was reduced. At the follow-up examination one month after surgery, muscle strength was completely restored and there was no numbness. Full functional recovery of the arm was obtained. Group photo with Dr. Tang (left) The common lesions of cervical medullary injury are as follows: central cervical medullary syndrome is the most common, mostly in elderly patients with cervical spondylosis, due to the presence of spinal stenosis and minor neck injuries such as falls and emergency brakes. If not treated in time it can result in serious consequences of incomplete paralysis or disability.