The purpose of this study is to compare the safety and effectiveness of surgical versus conservative management of type II odontoid fractures among patients \> 64 years of age. Of secondary interest is to determine if there are differences in outcomes between anterior screw fixation and posterior fusion of these fractures.
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Compare disease-specific health-related quality of life between the surgically and conservatively managed patients using the neck disability index
Timeframe: 12 months
Compare the proportion of patients with radiographic bony fusion between the surgically and conservatively managed patients
Timeframe: 12 months
Compare the rate of non-union between the surgically and conservatively managed patients
Timeframe: 12 months