Abstract

Introduction

Cervical spine injuries are one of the most disabling injuries of the spine which in majority of the cases leads to permanent disability. majority of these injuries occur due to road traffic accident and fall from height [1]. cervical spine injuries are encountered in 2 to 3% of blunt trauma victims, while it constitute around 19 to 51% of all spinal trauma [2]. neurological injury is directly proportional to the severity of bony injury and majority of cervical fracture dislocation patients present with significant neurological injury [3]. Cervical fracture dislocation represents sever type of cervical spine trauma with both anterior and posterior column injury. In majority of the ceases these patients presents with neurological injury or at risk of developing one. Although there are reports of conservative treatment earlier but now majorities of these injuries are treated surgically [4]. These injuries are reduced close or open and stabilized and decompressed form anterior posterior or combine approach. Majority of cervical fracture dislocation cases need circumferential stabilization [5]. In our setup circumferential stabilization is usually not possible due to financial constraint. So we at our institution try to do gradual reduction of the dislocation and then only anterior stabilization in case of successful reduction. In this study we present the results of only anterior stabilization in cervical fracture dislocation in term of clinical outcome and radiological outcome.