Conclusion Thehollow screw fixation was superiority for the treatment of unstable odontoid process fracture in some extent. To the old frctures, the neck pillow infusion must be considerated.

• 结论空心螺钉内固定对于不稳定性新鲜的齿状突骨折的治疗具有一定的优势,而对于陈旧性骨折，颈枕融合术应该是首选。