24 upper cervical spine injuries consist of 3 bursting atlantal fractures, 4 posterior arch fractures of atlas, 5 fractures of dens, 3 fractures of axis body, 2 hangman fractures, one vertebral arch fracture of dens and 6 atlanto-axial rotatory fixations.
All bursting atlantal fractures were treated with skull traction and resulted in nonunion, but showed no instability and unremarkable symptomes.
All atlanto-axial rotatory fixations belonged to type I in Fielding's classification and were successfully manipulated with or without anesthesia.
Anterior dislocations of atlas associated with non union of dens fracture were possibly reduced with skull traction and were immobilized with posterior fusion from occiput to third cervical vertebra.
