Late treatment of nonunion of odontoid fracture

Nonunion of odontoid type II fracture is notoriously difficult to treat and can easily become a chronic instability of C1-C2 area. Also, nonunion is difficult to eradicate in light of ongoing bony instability. However, a successful treatment plan of performing posterior wiring and autogenous iliac graft can prevent further neurologic deterioration and ultimately leads to a stable spine.