Odontoid type II fractures are relatively frequent and its therapeutic approach continues to be subject to considerable debate by the different column groups, both national and international. It is a young woman who suffered a traumatic brain injury in a traffic accident although there was no neurological compromise, persistent neck pain led to the diagnosis of a type II odontoid fracture. Faced with refractoriness to conservative treatment the patient was taken to surgery, in which an anterior fixation of the odontoid process was performed.
Odontoid fractures type II can be treated with a surgical or medical approach, each with advantages and disadvantages and in any case none free of morbidity. Surgical treatment is indicated by the failure of the conservative approach.