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Issue: No. 100 (2026)
Section: Article
DOI: 10.58490/ctjump.2026i100.4832
Date Published: 25/07/2026
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Nguyen, D. L., Lam, K. D., Nguyen, T. T., Nguyen, L. H., Huynh, T. E., Vo, D. T. T., & Huynh, K. H. (2026). EVALUATION OF CLINICAL OUTCOMES FOLLOWING ANTERIOR CERVICAL DECOMPRESSION AND FUSION IN SUBAXIAL CERVICAL SPINE INJURIES. Cantho Journal of Medicine and Pharmacy, 100, 36-42. https://doi.org/10.58490/ctjump.2026i100.4832

EVALUATION OF CLINICAL OUTCOMES FOLLOWING ANTERIOR CERVICAL DECOMPRESSION AND FUSION IN SUBAXIAL CERVICAL SPINE INJURIES

Dinh Luat Nguyen1, Khai Duy Lam2, Thanh Tan Nguyen1, Le Hoan Nguyen1, Thong Em Huynh2, Duong Thanh Thai Vo1, Kim Hieu Huynh1,
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Central General Hospital

Main Article Content

Abstract

Background: Subaxial cervical spine injuries involve damage to the vertebral bodies, intervertebral discs, spinal cord and surrounding ligamentous structures at levels C3–C7. These injuries are frequently associated with a high risk of neurological deficits and may result in severe long-term disability if not appropriately managed. In recent years, anterior decompression and fusion surgery has been widely applied and has demonstrated favorable postoperative functional recovery. Objective: To evaluate the clinical outcomes of anterior decompression and fusion surgery in the treatment of subaxial cervical spine injuries. Materials and methods: A prospective descriptive study was conducted on 21 patients with subaxial cervical spine injuries who underwent anterior decompression and fusion surgery at Can Tho Central General Hospitalfrom May 2024 to August 2025. Results: Good-to-fair clinical outcomes were observed in 76.2% of patients. Moderate outcomes accounted for 19.0%, while a poor outcome was reported in one patient (4.8%). Conclusion: Anterior decompression and fusion surgery is an effective treatment for subaxial cervical spine injuries. It restores spinal alignment and improves neurological function in the majority of patients. 

Keywords

Subaxial cervical spine injury, cervical spinal cord injury, anterior cervical decompression and fusion

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References

1. Lu Y., Shang Z., Zhang W., Pang M., Hu X., et al. Global incidence and characteristics of spinal cord injury since 2000–2021: a systematic review and meta-analysis. BMC Medicine. 2024. 22(1), 285, https://doi.org/10.1186/s12916-024-03514-9.
2. Zanza C., Tornatore G., Naturale C., Longhitano Y., Saviano A., et al. Cervical spine injury: clinical and medico-legal overview. La Radiologia Medica. 2023. 128(1), 103–112, https://doi.org/10.1007/s11547-022-01578-2.
3. Đinh Thế Hưng. Kết quả điều trị phẫu thuật chấn thương cột sống cổ thấp trật cài diện khớp không liệt tủy và liệt tủy hoàn toàn. Trường Đại học Y Hà Nội. 2017. 51.
4. Nguyễn Hữu Quý. Kết quả điều trị chấn thương cột sống cổ thấp bằng phẫu thuật theo đường cổ trước tại bệnh viện trung ương thái nguyên. Đại học Thái Nguyên. 2019. 52.
5. White A.A. III, Johnson R.M., Panjabi M.M., Southwick W.O. Biomechanical analysis of clinical stability in the cervical spine. Clinical Orthopaedics and Related Research. 1975. 109, 85–96, https://doi.org/10.1097/00003086-197506000-00011.
6. Vaccaro A.R., Hulbert R.J., Patel A.A., Fisher C., Dvorak M., Lehman R.A., et al. The subaxial cervical spine injury classification system: A novel approach to recognize the importance of morphology, neurology, and integrity of the disco-ligamentous complex. Spine. 2007. 32(21), 2365–2374, https://doi.org/10.1097/BRS.0b013e3181557b92.
7. Hà Kim Trung. Đường mổ trước điều trị chấn thương cột sống cổ thấp. Nhà xuất bản Y học. Hà Nội. 2001.
8. Rupp R., Biering-Sørensen F., Burns S.P., Graves D.E., Guest J., et al. International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019. Topics in Spinal Cord Injury Rehabilitation. 2021. 27(2), 1–22, https://doi.org/10.46292/sci2702-1.
9. Akbarov A.S. Assessment of traumatic axial cervical spine injuries. Trends in Clinical and Medical Sciences. 2022. 2(2), 9–13, https://doi.org/10.30538/psrp-tmcs2022.0025.
10. Hoàng Hữu Đức, Tạ Ngọc Hà, Vũ Văn Cường, Đinh Ngọc Sơn, Nguyễn Viết Lực và cộng sự. Kết quả điều trị chấn thương cột sống cổ kiểu giọt lệ bằng phẫu thuật đường cổ trước tại Bệnh viện Hữu nghị Việt Đức. Tạp chí Y học Việt Nam. 2023. 529(1B), 26–29, https://doi.org/10.51298/vmj.v529i1B.6336.
11. Fehlings M.G., Tetreault L.A., Wilson J.R., Kwon B.K., Burns A.S., et al. A clinical practice guideline for the management of patients with acute spinal cord injury: recommendations on the timing (≤24 h versus >24 h) of decompressive surgery. Global Spine Journal. 2017. 7(3 Suppl), 195S–202S, https://doi.org/10.1177/2192568217706367.
12. Waters R.L., Adkins R.H., Yakura J.S. Definition of complete spinal cord injury. Spinal Cord. 1991. 29(9), 573–581, https://doi.org/10.1038/sc.1991.85.
13. Ngo D.T., Hoang X.S., Dao T.C., Nguyen C.T., Le N.K., Do V.N. Impact of early decompression surgery and injury characteristics on neurological recovery following traumatic cervical spinal cord injury. Brain and Spine. 2025. 5, 104326, https://doi.org/10.1016/j.bas.2025.104326.
14. Kumar V., Kumar P., Rajnish R.K., Vatkar A., Kale S. Factors affecting clinical outcomes in traumatic cervical spine injuries in adults: review of recent literature. Journal of Orthopaedic Case Reports. 2025. 15(4), 252–261, https://doi.org/10.13107/jocr.2025.v15.i04.5514.