Concomitant odontoid and cervicothoracic junction fractures in an elderly patient: A rare case report

Background: Concomitant odontoid fractures associated with subaxial cervical lesions are extremely rare and present both diagnostic and therapeutic challenges. Case Description: A 70-year-old man presented after a high-energy car accident with severe posterior neck pain but no neurological deficit. Computed tomography imaging revealed a type II odontoid fracture and a C7-T1 fracture-dislocation. He underwent anterior odontoid screw fixation followed by anterior cervical discectomy and fusion at the same session. Postoperative recovery was uneventful, and follow-up imaging confirmed solid fusion at 6 months. Conclusion: This case highlights the feasibility and safety of single-session, all-anterior stabilization for concomitant upper and lower cervical fractures in a selected elderly patient, achieving solid fusion with minimal morbidity.