Cervical spine fractures can be difficult to diagnose solely upon the
patient's symptoms and physical exam. There have been several case rep
orts of trauma patients without any of the signs or symptoms of cervic
al spine injury who were subsequently found on radiography to have fra
ctures. This article presents a case report of an occult cervical spin
e fracture occurring in a wilderness setting and discusses the special
considerations of managing wilderness trauma patients who may have an
occult cervical spine injury.