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Ununited Mobile Odontoid Fracture: Clinical and Imaging Findings With Subsequent Management: A Case Report

Inger K Roug1, Jane Cook1, Vijay Kumar Pabbathi1

  • 1School of Chiropractic, Health Sciences University, Bournemouth, United Kingdom.

Journal of Chiropractic Medicine
|May 19, 2026
PubMed
Summary

This case study details an 84-year-old male with a type II dens fracture that did not heal with immobilization. Conservative management focusing on fall prevention improved his quality of life.

Keywords:
ChiropracticMRIOdontoid processType II odontoid fracturemobile ununited odontoid fracturenon-operative management

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...