The patient was originally treated with painkillers by a locum GP.
On returning to GP 2 weeks later was sent for x-ray as outpatient (further 2-3 week wait). On x-ray had no peg view and was sent home. Was recalled same day when odontoid fracture was reported and had further views and CT.
Treated conservatively. The patient had a follow up CT that showed non union but no further displacement.