The Outcome of Subaxial Cervical Injury in Adult Patients Managed Surgically Through an Anterior Approach

  • Aurangzeb Kalhoro Jinnah Medical and Dental College, Karachi, Pakistan
  • Abdul Samad Panezai Sandeman civil hospital, Quetta
  • Sher Hassan Sandeman civil hospital, Quetta,
  • Farrukh Javeed Jinnah Postgraduate Medical Centre, Karachi
  • Lal Rehman Jinnah Postgraduate Medical Centre, Karachi,
Keywords: Subaxial cervical injury, anterior approach


Objectives:  We determined the Outcome of subaxial cervical injury management in adults through anterior approach open reduction and fixation injury < 72 hours.

Material and Methods:  A total of 71 patients declared to have a recent chronicle of traumatic cervical spine injury with a conventional diagnosis of subaxial injury by Magnetic Resonance Imaging (MRI) and X-Ray anteroposterior and lateral views. ASIA Impairment Scale was used for assessment and was done at the time of admission and after six months.

Results: Mean age of the patients in our study was 38.54 ± 5.47 years. According to American Spinal Injury Association (ASIA) scale, improvement by two grades was seen in 18 cases and improvement by one – grade was observed in 48 cases. Mortality was seen in 5 cases, where 2 deaths were related to associated injury, one related to a complication of surgery and other 2 died due to aspiration complications. Out of 66 cases, the outcome was good in 49 (74.29%) and fair in 17 (25.76%).

Conclusion:  The study results revealed that Anterior Cervical Discectomy and Fusion (ACDF) is considered to be a better treatment choice for better anatomical stabilization of the spine with early reduction.

Keywords:  Subaxial cervical injury, anterior approach, ASIA (American Spinal Injury Association) scoring.


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Original Article