Surgical stabilization of non-neoplastic spinal lesions with methylmethacrylate and wire remains a controversial issue. In this report we offer a method of posterior cervical arthrodesis that combines using midline wire and acrylic with a lateral bony fusion. This construct allows for immediate as well as long-term stability. The technique is simple and safe, requires no special instrumentation, and is also easily extended to include the occipital bone. Rigid postoperative external immobilization is not required.