&NA;Surgical stabilization of traumatic fracture‐dislocations of the lower cervical spine with wire and methylmethacrylate remains a controversial procedure. Yet, the resultant immediate fixation with minimal patient morbidity seems to indicate that this method provides an ideal stabilization construct. We describe and report the outcome of a technique of posterior cervical fixation with methylmethacrylate and wire for stabilization of traumatic fractures of the lower cervical spine. Over a 12‐year period, 124 fracture‐dislocations of the lower cervical spine in 99 patients (mean age, 32 years; range, 15‐76 years) were treated at this institution using a posterior methylmethacrylate and wire technique. Eighty‐two patients had a posterior element fracture; 28 had a vertebral compression with posterior ligamentous injury; and 14 had a ligamentous injury alone. Thirty‐six patients were neurologically intact upon admission, while the rest had radiculopathy or partial or complete myelopathy. Ninety‐one patients were available for follow‐up [mean, 18.6 months; range, 1‐100 months (8.33 years)]. Eighty‐eight patients (97%) had a stable fixation and 77 (85%) had resumed preoperative activity or were working but with a residual deficit. Complications included fixation failure requiring a second operation in 3 patients, nonlethal pulmonary embolism in 2 patients, lethal pulmonary embolism in 1 patient, and a superficial wound infection in 3 patients (none affected the underlying fixation construct). These results indicate that this technique is a safe, simple, and effective method for stabilizing the lower cervical spine that allows rapid patient mobility with minimal morbidity. (Neurosurgery25:503‐513, 1989)