Acute Odontoid Fractures: Anterior Odontoid Fixation

Fractures of the dens are common injuries. The classification of these fractures remains controversial. Anterior odontoid fixation is a safe and effective means of stabilizing some of these injuries. We review classification of these injuries, treatment options, and surgical indications. Anterior odontoid fixation is reviewed in further detail, with an emphasis on surgical indications and a discussion of surgical technique.