Objective: Spinal trauma and cervical fractures are one of the most common causes of mortality and morbidity in the elderly. Surgical interventions can result in high rates of complications due to age of the patients and additional diseases. In our study, we investigated the long-term follow-up results in patients who applied the HALO Vest following the upper cervical C1 and C2 vertebral fractures. Methods: A total of 30 patients (20 male, 10 female), who were applied the HALO Vest in our clinic due to fractures of the cervical C1 and C2 vertebrae after any trauma between 2013 and 2017, were studied. Patients who developed infection, congenital anomaly, or post-malignancy fracture were not included in the study. Patients were followed up by computed tomography and flexion-extension radiographies. The HALO Vest of fusion patients was removed. Results: There were 2 isolated C1 fractures, 6 C1+C2 odontoid Type 2 fractures, 16 isolated odontoid fractures, 2 C2 massa lateralis fractures, and 4 Hangman fractures in a total of 30 patients with the HALO Vest device. Patients were followed for 15 weeks on average (10–22 weeks) with the HALO Vest immobilization device. As a result, a full fusion in 22 patients and partial fusion in 8 remaining patients due to different reasons were found. The HALO Vest patients were followed up using the Philadelphia cervical collar. Infection occurred in 5 patients. Nail positions were changed in 1 patient. Conclusion: The application of the HALO Vest device in selected patients with the upper cervical vertebra fractures is a very reliable and effective treatment method for various difficulties encountered by the patient.