Introduction: Odontoid fractures form about 10% of all cervical spine injuries. We looked at our 7-year experience with odontoid fractures. Material and methods: A retrospective analysis of all patients admitted with a diagnosis of odontoid fracture, in a neurosurgical unit of Christian Medical College, Vellore, India, during the period from April 2008 to January 2015 was done. Their preand postoperative clinical status, radiology, treatment given, outcomes and complications were assessed. Results: Twenty-three patients with odontoid fractures were treated during this period, predominantly males (n = 21) and with a mean age of 37 years. There were 17 Type II fractures and 6 Type III fractures. Eight patients were managed with anterior odontoid screw fixation, eight with posterior instrumented fusion and four underwent a transoral odontoidectomy followed by posterior fusion. Three patients were conservatively managed (two with halo fixation and one with cervical collar). Two patients developed cut out of the anterior odontoid screw through the C2 body, thereby requiring posterior fusion. There was no mortality in our series. At a mean follow-up duration of 24.6 months (n = 17), there was no worsening of American Spinal Injury Association (ASIA) grade clinically, with evidence of radiological fusion in all cases except the one case managed with a cervical collar. Conclusion: Odontoid fractures can be managed in a variety of ways. Choosing the appropriate treatment for each patient is important. Bony fusion in a reduced position is the goal of the treatment.