Upper cervical fracture is more and more common with the development of industry and traffic system.Stability fracture tends to good result with the conservative treatment.It is necessary to choose the surgical treatment in instable fracture of upper cervical spine.The common injury of upper cervical spine including:fracture of occipital condyle,atlas fracture,odontoid fracture.According to the different site and classification,each type fracture can be reducted,fixed and fused with the different principle.