Cervical spinal cord injury: comparative study on the optimal surgical approach based on the level of injury

  • Marougklianis V.
  • Benettos IS
  • Vlamis J.
  • Pneumatikos S.
Keywords: Cervical spine injuries, Fusion, Instrumentation, Spinal cord injury, Rehabilitation


Anterior and posterior surgical approaches are used for immobilization of the unstable features of the cervical spine. The choice for optimal approach is still under discussion. Each procedure has advantages and disadvantages and the surgeon must be aware to make the right decision to assure patient’s safety.

Intraoperative evaluation of reduction is essential to ensure satisfactory postoperative outcomes. However, immediate postoperative neurologic improvement is rare for patients with preoperative neurologic deficit and thus postoperative rehabilitation for improvement of motor and neurologic dysfunctions is imperative. Literature data report minor or severe intraoperative and postoperative complications for cervical spine surgery.

The purpose of this mini review is to provide literature data on cervical spinal cord injuries and assess optimal surgical treatment based on cervical injury level. Moreover, the rate of postoperative complications and recovery time will be discussed.


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Author Biographies

Marougklianis V.

3rd Department of Orthopedic Surgery, University of Athens, KAT Hospital, Athens, Greece

Benettos IS

3rd Department of Orthopedic Surgery, University of Athens, KAT Hospital, Athens, Greece

Vlamis J.

3rd Department of Orthopedic Surgery, University of Athens, KAT Hospital, Athens, Greece

Pneumatikos S.

3rd Department of Orthopedic Surgery, University of Athens, KAT Hospital, Athens, Greece


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