Injury is a serious complication of cervical fracture. Due to the displacement of the vertebral body or the protrusion of broken bone fragments into the spinal canal, the spinal cord is damaged to varying degrees and the sensation and movement of the extremities are impaired. According to the degree of cervical spinal cord injury, it can be divided into: 1. spinal cord concussion: the mildest spinal cord injury, which is only a temporary functional inhibition and can be fully recovered within minutes or hours. 2. spinal cord contusion and hemorrhage: a substantial damage to the spinal cord, although the appearance is intact, there can be internal destruction of nerve cells and interruption of nerve conduction fiber bundles. 3. spinal cord rupture: the continuity of the spinal cord is interrupted, and there is generally no hope of recovery, and the prognosis is poor. 4. The prognosis is poor. 4, spinal cord compression: fracture displacement, broken bone fragments and rapidly formed hematoma, etc. can compress the spinal cord, timely removal of the compression can be expected to partially or fully restore the function of the spinal cord, such as compression for too long, the spinal cord due to impaired blood circulation and softening or atrophy, it is difficult to recover from paralysis. Complications of cervical spinal cord injury include: 1) respiratory failure and respiratory tract infection; 2) genitourinary tract infection and stones; 3) decubitus ulcers; 4) thermoregulation. Because of the high paraplegia level, respiratory muscle paralysis and easy involvement of the vital center, cervical spinal cord injury patients have heavy complications, high mortality and poor recovery; and there is still no effective treatment for complete spinal cord injury under current conditions. However, immediate injury, although there is a complete loss of spinal cord function, but does not mean that the spinal cord is completely broken, and its degree of functional recovery is closely related to the appropriate treatment or not. Cervical spinal cord injury from the scene of injury to the hospital emergency transport mode is crucial. One person carries the head, one person carries the foot or the transport method of cradling is very dangerous, because these methods will increase the bending of the spine, which may squeeze the broken bone fragments into the spinal canal, increasing the damage to the spinal cord. The correct method is to use a stretcher, a wooden board or even a door board to transport the patient so that the patient remains upright. The main principles of treatment for cervical spinal cord injury in the hospital are: 1. appropriate immobilization to prevent re-injury to the spinal cord due to displacement of the injury site, usually starting with jaw-occipital band traction or continuous cranial traction. 2. methods to reduce spinal edema and secondary damage, such as dexamethasone, mannitol, methylprednisolone and hyperbaric oxygen therapy. 3. surgical treatment. Surgical treatment can relieve the compression of the spinal cord and restore the stability of the spine, but it is not yet possible to restore the function of the ruptured spinal cord. The anterior surgery alone has become a classic procedure, which can directly relieve the anterior compression and simultaneously perform implant fusion plate internal fixation; the posterior surgery has a wide range of decompression under direct vision and is feasible for intraspinal decompression; however, the specific procedure to be used depends on the mode of injury and the location of the spinal cord compression to decide. On the basis of the previous anterior or posterior decompression, we started to use the emergency anterior and posterior combined decompression implantation plate internal fixation surgery in 1998 to treat acute cervical spinal cord injury, and after the surgery, the anterior implantation obtained bony fusion, and the posterior decompression did not show instability, and the patient’s recovery was satisfactory. Although the results of the surgery are difficult to predict preoperatively, in general, the paraplegia index improves by at least one level after surgery, which implies an improvement in quality of life. Even in patients with complete spinal cord rupture, surgery can re-establish spinal stability, thus facilitating postoperative care and reducing complications and greatly reducing mortality. For this reason, the surgical treatment of cervical spinal cord injury should be viewed positively. For patients with cervical spinal cord injury, we advocate early surgery upon diagnosis, and 24 hours after injury is the best time for surgery.