Türk Nöroşirürji Dergisi 2025 , Vol 35 , Num 3
Subaxial Cervical Spine Injuries
Süleyman AKKAYA1,Taha Şükrü KORKMAZ1
1SBÜ Van Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Van, Türkiye DOI : 10.5137/1019-5157.TND.3332 Subaxial cervical traumas are injuries of the cervical spine between C3-C7 and constitute the majority of cervical injuries. Understanding the mechanism of injury in traumas of this region is important in terms of treatment. Historically, many classification systems have been proposed. The most widely used subaxial cervical spine injury classification system (SLICS) is often used for surgical decision-making. Conservative treatment is very effective in stable injuries. Rigid cervical collars and halo vest are the main options in conservative treatment. Traction and closed reduction are effective in maintaining alignment, but the safety of closed reduction in the presence of traumatic disc herniation is controversial and magnetic resonance imaging is recommended. Unstable injuries and the presence of neurologic deficit are the main indications for surgery. The aim of surgical treatment is to restore alignment, neural decompression, and fusion. Anterior, posterior and combined techniques have been described. Although there is no consensus in the literature on which approach should be chosen, it has been suggested that a patient-based decision should be made according to the location of neural compression, posterior ligamentous complex damage, the presence of facet locking, and the experience of the surgeon. Anahtar Kelimeler : Cervical trauma, Spine injury, Cervical dislocation