World Neurosurg
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World Neurosurg
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Simultaneous C1 and C2 fractures are increasingly common, but contemporary series are limited. ⋯ Simultaneous atlantoaxial fractures commonly occur in elderly patients after ground-level falls with minor associated injuries. Surgical selection is driven by neurologic deficits and age, and C2 fracture type may influence procedure choice. Surgery decreases the odds of bony nonunion, and fibrous nonunion is common in the absence of surgery.