Background Context: 25% of all cervical spinal injuries affect the axis. The nonunion rate for odontoid fractures is between 4% and 64% depending on the fracture site and method of treatment. Posterior fixation of C1-2 achieves higher fusion rates compared to conservative treatment Purpose: To report the successful clinical outcome following Halo-traction and surgical fusion of acute C2 fracture-dislocation. Methods: An 89-year-old woman was brought to the emergency department with complaints of inability to stand without support and complete loss of motor power in the right upper limb. The patient was admitted in the department of Neurology suspicious of a stroke. The stroke was later excluded and further diagnostics revealed an acute C2 dens fracture-dislocation, Anderson D´Alonzo Type II. Results: The patient underwent Halo-Traction to reduce the dislocation preoperatively and surgical fusion of odontoid fracture. Post-surgery, patient showed significant recovery of her motor power in right upper limb and was also able to walk with walker support. Conclusion: Treatments of odontoid fracture type II and III are associated with favorable clinical outcomes. Surgical treatment by posterior fusion yields a better fusion rate and shorter healing time thereby greatly improving quality of life.