(Disclaimer: This article is only for popularization of science, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient was admitted to the clinic due to a car accident with no fracture dislocation cervical spinal cord injury, with obvious cervical sphenoidal pressure pain, limited movement, inability to move both upper limbs, and decreased sensation of both lower limbs, and the complete cervical spine MRI and CT showed cervical spine degenerative changes, cervical 4-7 vertebral body disc bulging, and spinal cord edema. The patient was diagnosed with cervical spinal cord injury without fracture dislocation. The patient was given anterior cervical discectomy and decompression interbody fusion, and after treatment with medication, the patient’s upper limbs could move normally and her muscle strength gradually recovered. Basic information] Female, 58 years old [Type of disease] Cervical spinal cord injury (no fracture dislocation cervical spinal cord injury) [Hospital] The First Affiliated Hospital of Zhengzhou University [Date of consultation] January 2020 [Treatment plan] Surgery (anterior cervical discectomy decompression interbody fusion) + intravenous fluids (mannitol injection, methylcobalamin injection, methylprednisolone sodium succinate for injection) + oral medications (amoxicillin capsule anti-inflammatory treatment). Amoxicillin capsule anti-inflammatory treatment, methylcobalamin tablets) 【Treatment cycle】 hospitalization for 21 days, regular follow-up 【Treatment effect】 the patient’s muscle strength recovered, and there were no other postoperative complications I. Initial face-to-face consultation The patient is a 58-year-old female, who was hit by a car in the opposite direction during a car ride and sat in the passenger seat, resulting in a fractureless dislocation with cervical spinal cord injury, and was sent to the hospital on an emergency basis by 120. After the patient was admitted to the hospital, the examination for her showed that the patient had obvious cervical spinous process pressure and pain, limited movement, inability to move both upper limbs, decreased sensation in both lower limbs, grade II muscle strength of the left flexor and extensor elbow, left shoulder abductor, left flexor and extensor carpal tunnel, positive bilateral Babinski’s sign, and positive bilateral Hoffman’s sign. MRI and CT examination of the cervical spine showed degenerative changes of the cervical spine, disc bulging of the cervical 4-7 vertebrae, and degeneration of the spinal cord, and the diagnosis was cervical spinal cord injury without fracture or dislocation. Second, the treatment process After consultation, the patient was given cervical braking, which can avoid secondary neck injury, and at the same time, mannitol injection, methylcobalamin injection, methylprednisolone sodium succinate for injection were applied to treat the patient, the patient’s pain was relieved more than before, but the muscle strength was reduced, and the cervical spine MRI and CT examination showed that the patient had vertebral and cervical stenosis, so the patient was given the anterior cervical discectomy and decompression intervertebral fusion, and the patient and his family members The patient was given an anterior cervical discectomy with decompression and fusion, and the patient and his family were given the opportunity to complete all the examinations, and the surgery was carried out under general anesthesia to completely relieve the spinal cord compression. After the operation, the patient was given amoxicillin capsules for anti-inflammatory treatment, methylcobalamin tablets for nerve nourishment, as well as incision dressing change and other treatments, and the patient was in good condition for 5 days after the operation, and the feeling of muscle weakness improved. Third, the treatment effect of the patient due to a car accident caused no fracture dislocation cervical spinal cord injury, after admission to the hospital to give medication to relieve pain, but the patient’s muscle weakness, so the patient was given anterior cervical discectomy decompression interbody fusion. Five days after the operation, the patient was in good condition, limb weakness was improved, and he could move slightly without fever. 14 days after the operation, the patient’s pain was relieved, and he could hold chopsticks and spoons, but he couldn’t do complex movements such as washing his face, and the examination showed that the wound had recovered well, and he was discharged from the hospital after 1 week of hospitalization after dismantling the stitches. After active treatment, the patient’s numbness and weakness of the limbs improved, the pain of the upper limbs was reduced, and there were no other complications after the surgery, I was also heartily happy for the patient, but the patient still needed to recuperate at home after discharge, and he needed to wear a cervical brace for a period of time, and it was removed according to the results of the review. After being discharged from the hospital, the patient should pay attention to the activities of the neck to avoid poor postoperative recovery due to poor posture. After the patient has recovered the basic functions, he can exercise appropriately, but he has to be rechecked regularly to check the recovery of the neck, and he has to ensure that he has a high nutritional, high-protein, and high-fiber food intake in his daily life, and at the same time, he has to pay attention to the condition of the wound site, change the medication regularly and consult the doctor in a timely manner if there is any unexpected condition. Fifth, personal perception The patient because of the car accident caused no fracture dislocation cervical spinal cord injury, resulting in cervical 4-7 vertebral body disc bulge, spinal cord injury, is a very serious matter, which reminds us to pay attention to safety when driving, otherwise it may result in irreparable damage, the good thing is that after the treatment of the patient’s limbs numbness, weakness improved, the pain in the upper limbs to reduce the operation and there are no other complications, the follow-up patient discharged from the hospital attention to The patient was discharged from the hospital with attention to recuperation and regular review to observe the recovery situation.