Neglected Case of C1/C2 Instabilty- How it can be Treated After 16 Years of Injury?

Even in the era of modern technology, odontoid fractures can be easily overlooked and undertreated due to the specific mechanism of injury and anatomical features.

We present a case of odontoid fracture in young sportsman followed by atlanto-axial dislocation. The surgical treatment occurred 16 years after injury due to low compliance and lack of significant symptoms during 16 years.

This case was challenging regarding proper classification, diagnosis and treatment options. However, final result was satisfactory.