Atmospheric pollutants PM2.5 and CO2 share similar sources and impact mechanisms. Green innovations and urban greening significantly reduce these pollutants while promoting economic growth. However, the synergies and trade-offs between carbon reduction, pollution control, green expansion, and economic growth remain understudied. This paper examines 110 cities in the Yangtze River Economic Belt (YREB), China's premier green development site, as a unified system. Using fractional-order synthesis analysis, this paper constructs an assessment indicator system and measures synergy with a coupled coordination degree model. The driving factors are explored using a system-generalized method of moments estimation. The findings indicate that most cities in the YREB are at an intermediate coordination stage. The coupling of greening with carbon reduction, pollution control, and growth has a low degree, highlighting an urgent need to strengthen greening efforts. Key drivers include the digital economy, advanced industrial structure, innovative talent aggregation, infrastructure construction, financial investment, and marketization. The digital economy significantly influences all regions of the Yangtze River. Notable heterogeneity exists in the impact of other drivers across different regions. These results offer valuable policy insights for managing carbon emissions and pollutants, contributing to sustainable urban development.