Introduction: In the structure of the cervical spine injury, upper cervical spine injuries occupy from 5.5 to 35% and 1 to 2% of all spinal injuries. The main task in their treatment is the prevention of secondary displacements if possible elimination of deformations and ensuring reliable stabilization. Objective: Study of the effectiveness of the use of a halo - vest for the upper cervical spine injuries. Methods: The results of closed reduction and rigid stabilization with the Halo - vest in 28 patients with injuries of the upper cervical spine at the Fergana branch of the Republican research centre of emergency medicine are discussed. The average age of the patients is 31 years. The observation period of patients is 3 months or more. Result: In 4 (14.3%) patients with C1 fracture, slight neck pain persisted. Full offset correction was achieved in 44.4% of cases. In all cases, there were no secondary displacements of bone fragments. The overall rate of healing after 90 days of Halo __ampersandsignndash; vest is 89.3% traction. Complications were observed only in 1 (3.6%) patient in the form of scalp soft tissue infection. Conclusion: This method reduces the likelihood of postoperative complications due to low invasiveness, provides early verticalization and rehabilitation of patients.