【Abstract】Objective To investigate the clinical effect of lifting screw and modified distractor reduction for lower cervical anterior decompression and bone graft fusion in the treatment of articular processus fracture and dislocation of the cervical spine. Methods A retrospective analysis of the data of 128 patients with articular process hinged lower cervical spine fracture and dislocation from 2014 to 2019 was retrospectively analyzed. According to different reduction methods, they were divided into 67 cases in the lifting group and 61 cases in the prying group. The lifting group was reset with the aid of a lifting screw and a modified spreader, and the prying group was reset by anterior distraction and prying. After reduction, bone graft fusion and internal fixation were performed. The perioperative conditions, changes in neurological function before and after treatment, and imaging evaluation of the two groups were compared and analyzed. Results The two groups had no statistical significance in operation time, incision length, intraoperative blood loss, intraoperative fluoroscopy times, hospitalization time, time to remove external fixation and weight bearing time (P>0.05). The two groups were 6 months after surgery and the last follow-up The American Spinal Injury Association (ASIA) score and Japanese Orthopaedic Association（JOA）score were significantly higher than those before the operation, which was statistically significant (P＜0.05), and the score of the lifting group was higher than that of the prying group, which was statistically significant (P＜0.05). There were no statistically significant comparisons between the two groups of cervical anterior curvature, local angulation, C2-7 lordosis angle, and bony fusion time at the last follow-up 6 months after surgery (P>0.05). Conclusion Compared with prying reduction, the long-term improvement of nerve function is better with pulling reduction.