Abstract: Objective: Through 12 cases of cervical spinal cord injury without fracture or dislocation (CSCIWFD) case summary, explore the special type of cervical spinal cord injury etiology and pathogenesis, used to guide the clinician towards this disease early diagnosis and treatment of emergency.Method: Retrospective analysis of 12 cases (CSCIWFD) of emergency treatment process in our department from 2008 December to 2010 March. To analyze the injury mechanism of all cases, the date of cervical spine, CT and MRI X case information in hospital, treatment plan, and emergency treatment efficacy.Result: In 12 patients (CSCIWFD) with early clinical diagnosis followed by prompt treatment, condition showed significant improvement. Regardless of the conservative treatment in the later or operation treatment, emergency treatment laid a treatment foundation. According to the classification of ASIA:Class B in 1 cases recovered to level D; class C in 8 cases, 3 cases recovered to class E, 5 cases to the D class; class D in 3 cases were all restored to E level, in which the conservative treatment of 11 cases of spinal cord injury, operation treatment of 1 cases.Conclusion: Cervical spinal cord injury without fracture or dislocation (CSCIWFD) as a special type of cervical spinal cord injury, requires careful analysis of the mechanism of injury. In of the condition of X-ray, CT showed no fracture dislocation, we need comprehensive history taking into account the cervical spinal cord injury and the early clinical diagnosis, timely use of drug treatment, to help patients to achieve optimal restoration. Don't get bogged down in the result of MRI but miss the best treatment time.