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Akdeniz Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, Kepez, Antalya 21 patients with upper cervical injuries were reviewed. Conservative therapy with collar was performed in 16 patients. In 2 patients with CI-2 dislocation, 2 with dens type II fracture and 1 with C2 corpus fracture and C2-3 dislocation, occipitocervical fusion was done. Successful resulte were obtained in 80 % of these patients. It is emphasized that surgical fusion must be thought in cervical injuries showing severe instability and in patients with partial neurological deficits. Anahtar Kelimeler : Occipitocervical fusion, upper cervical injury