Surgical fusion of odontoid fractures has usually been carried out by posterior C1-2 arthrodesis rather than fracture fixation. The former approach has been associated with significant mortality and morbidity. In addition, it results in a decreased range of motion, particularly lateral rotation and requires postoperative external immobilization. Recently several authors aors have advocated anterior scrow fixation of the fracture as an alternative to posterior cervical fusion.

This paper presents a descuddion of different fusion methods and a limmited experience of screw fixation method.

Direct anterior odentoid screw fixation can be used for the successful treatment of selected odontoid fractures and nonunions.