What is the likelihood of recovery after surgery for spinal cord injury due to fracture of cervical vertebrae 4 – 7? 1, first determine the spinal cord injury plane fracture segment and spinal cord injury plane is not exactly the same. There is a simple method to roughly determine the plane of cervical spinal cord injury: can only flex the elbow joint for the cervical 5 plane, can extend the wrist for the cervical 6 plane, can straighten the elbow joint for the cervical 7 plane, can flex the middle finger for the cervical 8 plane, can abduct the little finger for the thoracic 1 plane. 2, and then determine whether it is complete. 3, and then judge the prognosis according to the injured nerve plane: (1) Cervical 5 plane: some patients can eat with self-help tools, dress with self-help tools and specially modified clothes, need help for most of the simple personal hygiene, can transfer to bed independently with overhead suspension, and drive wheelchairs with hand rims that have protruding handles. (2) If it is a cervical 6 plane injury, in addition to completing the above activities, it can turn the pages of a book and read with a self-help device, and can write by hand with a self-help device, but with poor speed and accuracy; it can decompress the skin with the help of a lasso tied to the wheel-back post and can perform selective cultural and sports activities appropriate to function. (3) In case of cervical 7-8 plane, he can eat, dress, personal hygiene, read, write by hand, transfer in bed independently, drive the wheelchair with standard hand rims, and use both hands for supporting skin decompression. Of course, these are theoretical goals that can be achieved with early rehabilitation intervention and the completion of systematic formal professional rehabilitation training and treatment. There are differences in each individual, with younger people recovering faster. From the brief description, the main problem is a quadriplegia with cervical medullary injury. You can give more details about the injury, such as where the sensation is lost, which parts of the upper limbs can be moved? What is the condition of urination and defecation? These are all important. His injury and surgery time are very short, to early recovery, especially hyperbaric oxygen therapy, started within a week to do is very helpful for neurological recovery.