A Type II fracture of the odontoid process involves at the junction between the odontoid process and the C2 vertebral body. These fractures frequently fail to unite. The bone in this region is primarily cortical. Even minor displacements of the fracture can lead to marked reduction in the surface area available for healing. Additionally, the articulation between the transverse ligament and the odontoid process contains a synovial capsule. Fracture in this region disrupts the synovial capsule, leading to an interarticular fracture. Presence of the synovial fluid in the fracture site can further impair bone healing.