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To report internal fixation of a fractured axis with a dynamic compression plate (DCP).Case report.A 7-year-old Warmblood gelding.Surgery was performed under anesthesia in sternal recumbency. After fracture reduction the complete transverse fracture in the cranial third of the axis was stabilized with a 7-hole 4.5 mm DCP. Optimal positioning of the plate and the length of the screws were facilitated by fluoroscopy. Recovery from anesthesia was supervised in a pool.The horse had an excellent outcome and returned to its previous activity level.Surgical treatment with fracture reduction and plate fixation enables normal bearing of the head and neck and improves neck flexibility soon after surgery.