[Objective] To introduce the surgical technique and preliminary clinical results of posterior cervical laminar screw fixationfor refractory cervical facet fracture and dislocation. [Methods] A total of 7 patients who failed to skull traction reduction of cervical facetfracture and dislocation were treated with posterior open reduction, laminar screw fixation and bone grafting. A posterior midline incisionwas made to reveal cervical spinous process, facet and ligaments. As paravertebral muscle of the dislocated side was retracted to the outeredge of the lateral mass, a total of 3 segments were exposed, including the affected, as well as the above and below adjacent segments. Ad-justing the traction weight and direction, the dislocated facet joint was reduced under the guidance of the nerve stripper. A universal screwwas inserted into the contralateral lamina at the base of the spinous process aiming the center of the contralateral mass individually in the 3segments. A linking rod was shaped and fastened with the 3 screws to finish fixation, with bone autograft placed on the affected side. [Results] All patients were successfully operated on without nerve, vascular injury and other serious complications, while with operative time of(95.7±10.2) min, and intraoperative blood loss of (43.0±7.2) ml. All 8 facet fractures and dislocations in the 7 patients were reduced, with-out ventral laminar cortex perforated by screws. All of them had the involved segments fused with an average fusion time of (2.4±0.4)months, and no implant loosening and fracture, no re-dislocation were found in anyone of them. [Conclusion] Compared with the lateralmass screw fixation, the lamina screw fixation may be a more convenient, safe and feasible method for the treatment of irreducible cervicalfacet fracture and dislocation.