Condition · Spinal fractures & trauma
Odontoid Fracture
The odontoid process (dens) at C2 is central to upper-cervical stability — fracture location and displacement strongly influence treatment.
Symptoms
Upper-neck pain after trauma is typical and may worsen with movement. Some patients have only mild pain, while weakness, numbness, gait change, or other neurologic symptoms suggest a more serious injury.
Diagnosis
Thin-cut CT defines the fracture type, displacement, and alignment. MRI may be used to evaluate ligaments, the spinal cord, or unclear neurologic findings; follow-up imaging assesses whether the fracture is healing.
Treatment options
A rigid cervical collar can be appropriate for selected stable, well-aligned fractures. Treatment decisions also account for age, bone quality, medical health, tolerance of immobilization, and the likelihood of union.
When surgery is considered
Fixation or fusion may be recommended when the fracture is unstable or significantly displaced, cannot maintain alignment, has a high risk of nonunion, or threatens neurologic structures.
When to seek care promptly
Upper-neck pain after any significant trauma should be evaluated promptly — keep the neck still until assessed.
Initial consultation or second opinion?
Meet Dr. Jihoon Choi for an initial consultation — or bring your imaging for an independent second opinion before your next step. Call (972) 817-7450 or request a visit online.