الفهرس 
Neurosurgical outcome of combined anterior- posterior approaches for subaxial cervical spine injury : A retrospective analysisOnly 14 pages are availabe for public view
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Abstract
Acute subaxial cervical spine injuries as a result of trauma are still a prevalent occurrence. On initial presentation, these injuries are frequently linked with neurological impairments. (Gelb et al., 2013) Individual subaxial cervical spine injuries can include fractures, ligamentous injury, and disc rupture, as well as injuries to the cervical spinal cord and nerve roots. (Kirshbaum and William, 2014) Several authors have described series of patients who were treated with a combination of anterior and posterior decompression, but they did not differentiate between outcomes of anterior-only, posterior alone or both techniques together (Harrington and Park 2007) 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: We found no absolute contraindication for a combined approach in our study. Circumferential stabilization and fusion in unstable subaxial cervical spine fractures allows for complete posterior and anterior decompression of the cervical cord, resulting in good alignment, fusion, and neurological recovery