【Abstract】 Objective To investigate the clinical effect of posterior cervical laminar screw fixation in the treatment of refractory cervical small joint fracture and dislocation. Methods From January 2017 to January 2022, the data of 7 patients (6 male and 1 female) who were treated with posterior cervical laminar screw fixation for intractable cervical facet joint fracture and dislocation were retrospectively analyzed. Age: 28 to 65 years old. There were 6 cases of unilateral cervical small joint fracture and dislocation, 1 case of bilateral fracture and dislocation, 1 case of C3/4 injury,3 cases of C4/5 injury, and 3 cases of C5/6 injury.None showed symptoms of spinal cord injury. Due to the failure of skull traction reduction, posterior cervical open reduction lamina screw fixation and bone fusion were performed. Results All 8 small joint fractures and dislocations were reduced in 7 patients. Total of 24 laminar screws were inserted, 5 of which were perforated through the dorsal cortex of the lamina, and no ventral cortex was perforated. All the bone grafts between the lateral blocks were fused at an average of 2.4 months, and the fracture line was still not healed in 2 small joints at 6 months after surgery. No infection, implant loosening and fracture, and joint re-dislocation occurred. Conclusion The posterior cervical laminar screw fixation is a simple, feasible and safe method to replace the lateral mass screw fixation in the treatment of the refractory fracture and dislocation of the cervical small joint.