@article { author = {SAMEH A. HELAL, M.Sc., AHMED A.A. ABDULLAH, M.D.; and M. ELKATATNY, M.D., AMR A.A.}, title = {Neurosurgical Outcome of Combined Anterior-Posterior Approaches for Sub-Axial Cervical Spine Injury: A Retrospective Analysis}, journal = {The Medical Journal of Cairo University}, volume = {90}, number = {3}, pages = {1-12}, year = {2022}, publisher = {The Clinical Society of Cairo University}, issn = {0045-3803}, eissn = {2536-9806}, doi = {10.21608/mjcu.2022.234584}, abstract = {Abstract Background: Acute subaxial cervical spine injuries fol-lowing trauma remain a common problem. These injuries are often associated with neurological deficits on presentation. Individual subaxial cervical spine injuries represent a wide spectrum of damage to the anatomic structures of the neck, including fractures, ligamentous injury, and disk disrup-tion, often with injury to the cervical spinal cord and nerve roots. Several authors have reported series of patients treated with a combination of anterior and posterior decompression, but they did not differentiate outcomes between the anterior standalone and anterior and posterior techniques. Aim of Study: The aim of the study to present clinical and radiological outcomes of patients who were operated by combined anterior-posterior approach for unstable subaxial cervical spine injury. Patients and Methods: The study included the 40 patients admitted to emergency unit of Neurosurgery Department at Cairo University from 2016 to 2018 and operated with this procedure. Results: Improvement of the neurological state occurred only in 15 patients with percentage of 37.5%. Other 25 patients showed no improvement with percentage of 62.5%. Conclusion: Circumferential stabilization and fusion in unstable subaxial cervical spine fractures gives an opportunity for the complete posterior and anterior de-compression of the cervical cord providing good results in alignment, fusion, and neurological recovery, we could not find any absolute con-traindication for a combined approach in our study.}, keywords = {Subaxial cervical spine trauma,fracture,ligamentous injury,Classification system}, url = {https://mjcu.journals.ekb.eg/article_234584.html}, eprint = {https://mjcu.journals.ekb.eg/article_234584_0a99f2927d1655e9167d60ee7dfbd58f.pdf} }