Figure 1: Lateral projections of odontoid peg (a) obtained to allow accurate placement of vertebral body stent (Synthes) in the odontoid peg under fluoroscopy guidance (b). Cementing through the stent is followed by the anterior odontoid screw fixation (partially threaded Synthes) cannulated over a K-wire before the cement could set fully (c and d). Bilateral anterior trans-articular screws with washers were placed to stabilize the C1–2 joint (e)