Cranial mid-body fractures of the axis in horses result from hyperflexion of the neck and are most commonly associated with lateral bending falls over showjumping or steeple chase fences. In the authors' experience, conservative treatment of mild to moderately displaced cranial mid-body axis fractures has been unsuccessful. This case report describes surgical management of a cranial mid-body fracture of the axis in an eight-year-old warmblood gelding that sustained the injury during a showjumping course. Following reduction, a five hole 4.5mm equine compression T-plate was contoured to fit the ventral aspect of the axis and used as an internal fixator. The horse was turned out starting 2 months after surgery and training was gradually resumed. No lameness, ataxia or decrease in cervical range motion were reported after surgery. Check-up radiographs at 5 months post-op showed complete healing of the fracture. T-LCP fixation is a promising treatment option for cranial mid-body fractures of the axis with a good prognosis for athletic function.