Objective      To investigate the clinical efficiency of skull traction under general anesthesia combined with anterior cervical decompression and fusion fracture dislocation with locked facets.       Methods      Clinical data of 60 patients suffering from lower cervical spine fracture and dislocation with locked facets admitted in our hospital from March 2010 to March 2013 were collected and retrospectively analyzed. There were 23 cases of unilateral facet interlocking and 37 cases of bilateral facet interlocking. Fifty-six cases were accompanied with spinal cord injury

including 5 cases of A type

21 cases of B type

23 cases of C type

and 7 cases of D type based on the nerve function according to American Spinal Injury Association (ASIA) classification criteria. All patients with stable vital signs were given skull traction immediately after general anesthesia

and underwent reset and anterior decompression and fusion fixation cage or damaged cervical corpectomy followed by titanium mesh implantation with bone titanium plate fixation.       Results      Fifty-three patients obtained complete reset

with a successful rate of 88.33%

and the other 7 patients got 90% reset and were satisfied with the outcome. No accidental injuries on large blood vessels and esophagus were observed. Five patients had mild difficulty in swallowing and hoarseness

but gradually recovered after hormones treatment and nebulization therapy. After surgery

ASIA classification showed that 3 cases of type A had no change before and after treatment

13 cases from 21 type B cases turned into type C and 5 cases into type D

13 cases from 23 type C cases turned into type D and 8 into type E

and all 7 type D cases turned into type E.        Conclusion      Skull traction under general anesthesia combined with anterior cervical decompression and fusion fracture locked facets is relatively safe and effective treatment for cervical fracture dislocation.