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Odontoid fractures are sometimes produced by severe forces directed to the pinnacle, and the route of pressure normally determines the direction of displacement. Suboccipital tenderness could also be present. A extreme extension drive could fracture the odontoid at its base, with doable odontoid posterior displacement. The danger of cord strain is nice. Open-mouth views, flexion-extension x-ray views, or tomography could also be necessary for correct willpower.