The procedures for operative treatment of cervical spinal disease and injury have proven to be technically simple and to have a low incidence of postoperative morbidity. There are occasional technical difficulties, however, which have been encountered during these procedures, one of the most common being graft failure for a variety of reasons. Work currently being done on the efficacy of a technique to circumvent graft failure is reported here. Segments of fibula have been used to secure stability and arthrodesis in the management of 26 patients with disease or injury of the cervical spine. Surgical objectives have been uniformly achieved in 19 patients with proper selection and adequate followup. Early technical problems are described.