The researchers retrospectively reviewed data for 21 patients with old odontoid fractures (13 men and 8 women; mean age, 46.5 years) who underwent internal screw fixation via the C1 and C2 pedicle.

At the C2 and C7 segments, one can place pedicle or translaminar screws. In the setting of fractures or instability near the cervical-thoracic regions, the construct may include upper thoracic ...