Objective: To investigate the strategies of posterior short-segment fi xation and plant iliac fusion
surgery, and the clinical effi cacy of them on the treatment of upper cervical vertebra trauma.
Methods: Three hundred and thirty-four patients with upper cervical vertebra trauma admitted
into our hospital from June, 2005 to April, 2010 were studied retrospectively. Th irty-six were treated
by posterior short-segment fusion, which included 22 and 14 male and female patients, respectively.
Among them, 23 or 6 patients were related to traffi c or falling accident, 5 or 2 patients were related
to crashing object or fi ght. Th e clinical effi cacy was evaluated by head and neck pain VAS score, JOA
scores of nerve function and the rate of graft bone fusion.
Results: Th e postoperative VAS scores were lower than that of pre-operation, and the diff erence was
signifi cant (P<0.001). Th e postoperative JOA scores of nerve function was superior to preoperative
scores (P<0.05). During follow-up, no internal fi xation failure happened while bony fusion could be
Conclusion: The method of posterior short-segment fixation and bone graft fusion in treating
patients with cervical spine injury is highly efficacy, which possesses great clinical value.