Objective: This study aims to demonstrate the results of surgical treatment of lower cervical spine in 34 patients with traumatic fracture--dislocation treated by surgical technique for arthrodesis with fixation without the aid of cranial traction. Methods: Patients were evaluated by clinical and radiological assessment. Patients were followed-up for a period of 1-4 years. Results: Clinical and radiological fusion was observed in all 34 patients, among them four developed surgical site infection. Conclusion: The performance of reduction of fracture dislocation of the lower cervical spine without the use of cranial traction together with surgical anterior approach showed good results with radiological and clinical improvements, as well as low rate of neurological complications.