This case involves a 64-year-old male with a traumatic vertebral artery (VA) transection from a rebar neck injury, presenting with massive bleeding and C3-4 fractures. He had a near-complete VA transection, an arteriovenous fistula, and a pseudoaneurysm. After revising the initial coil embolization, stenting successfully restored VA patency. Explore this rare case to understand the complexities of managing traumatic VA injuries and the role of endovascular stenting.