The coexistence of traumatic locked cervical facet dislocation and disc herniation is not well described despite the incidence being as high as 60 per cent. The traditional protocol for cervical facet dislocation suggests closed reduction (CR) using traction and/or manipulation. In the event of unsuccessful CR, open reduction and stabilization by the posterior approach is the usual procedure. In the event of concurrent disc injury this may in fact increase the neurological compression.Out of ten patients of disc injury associated with facet dislocation, two had uni-facet and eight had bi-facet dislocation. Disc herniation was documented by magnetic resonance imaging (MRI) in nine patients and by myelography in one patient. In six cases open reduction by the posterior approach was followed by anterior discectomy and fusion. In two cases only anterior discectomy and fusion was performed. In the remaining two cases only the posterior approach was used. Functional recovery was obtained in six patients, five of which were from the combined procedure group, the sixth one from the anterior discectomy and fusion group.This series illustrates the importance of using MRI to document the presence of herniated discs during the initial evaluation of patients with locked cervic facets. If MRI demonstrates disc bulge or herniation it is always advisable to combine anterior discectomy and fusion with posterior reduction and stabilization.