Objective To investigate the clinical treatment of spinal fracture with spinal cord injury .Methods Retrospective analysis of clinical data of patients with spinal cord injury in our hospital is 38 cases of spinal fractures,decompression through posterior approach for internal fixation.Results After operation,38 patients were followed up;the follow-up time was 6 months to 2 years.Vertebral morphology of recovery of Cobb's angle by preoperative average of 26.2 °(11-47 °)operation after an average of 3.4 °(0-9 °);Anterior height of vertebral body by an average of 52% preoperative(14-71%)compared with postoperative 89.1%(85-100%).Con-clusion Spinal fractures should be treated with early operation in patients with spinal cord injury ,early decompression of the spinal cord,should according to the type of fracture and spinal cord injury degree to choose the right vertebral internal fixation and bone grafting in order to stabilize the spinal column ,are the effective measures for recovery from spinal cord injury.