1 2023, Volume 9, No. 24 Research Paper Treatment of Subaxial Cervical Spine Injuries at the University Hospital Center of Brazzaville, Congo Hugues Brieux Ekouele Mbaki 1,2* , Ruben Ange Florice Loko 1 , Rel Gerald Boukaka Kala 2 , Olivier Brice Ngackosso 2 , Sinclair Brice Kinata Bambino 2 , Léon Boukassa 1,2 1. Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo 2. Department of Multpurpose Surgery, University Hospital Center of Brazzaville, Brazzaville, Congo * Corresponding Author: Hugues Brieux Ekouele Mbaki, MD. Address: Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo Tel: +24 (20) 65495862 E-mail: hugues.ekouele-mbaki@umng.cg Background and Aim: Spinal cord trauma is a public health problem. The subaxial cervical spine is the most frequent seat of such injuries. This study aims to describe the treatment of subaxial cervical spine injuries at the University Hospital Center of Brazzaville, the Republic of Congo. Methods and Materials/Patents: This descriptve study was conducted for 7 years, from 2015 to 2021 in the Department of Multpurpose Surgery at the University Hospital Center of Brazzaville, Congo. The research included all patents hospitalized for subaxial cervical spine injury. The surgery was performed on 32 cases (53.3%). Results: A total of 90 cases with subaxial cervical spine injuries were reported with a frequency of 3.2% and included 60 cases. The median age was 37 years and the sex rato (male/female) of 3.6. The trauma was because of a road accident in 68.3% of the cases. The afected vertebral level was C5-C6 in 18 cases (30%). It was a luxaton in 30% and fracture luxaton in 26.7% of the subjects. Surgery was indicated in 51 patents and 32(53.3%) were operated. The median tme between admission and surgery was 288 hours. A total of 31(96.9%) cases were operated by the anterior approach alone. Anterior osteosynthesis was performed in all cases. Meanwhile, 18(56.3%) cases had a favorable evoluton, 7(21.9%) had a worsening of the defcit, 5(15.6%) experienced a postoperatve infecton, 5(15.6%) showed deep pressure ulcers, and 7(22%) cases died. In both univariate and multvariate analysis, an unfavorable American Spine Injury Associaton score (between A and B) was associated with the occurrence of complicatons with a signifcant statstcal diference (P<0.05). Conclusion: Therapeutc care is delayed due to insufcient fnancial means for patents who lack health insurance. The surgery consists of neural decompression, arthrodesis then osteosynthesis, partcularly by an anterior approach. A B S T R A C T Keywords: Subaxial Cervical Spine Trauma, Anterior Approach, Brazzaville Citation Mbaki HBE, Loko RAF, Kala RGB, Ngackosso OB, Bambino SBK, Boukassa L. Treatment of Subaxial Cervical Spine Injuries at the University Hospital Center of Brazzaville, Congo. Iran J Neurosurg. 2023; 9:E24. htp://dx.doi.org/10.32598/irjns.9.24 : htp://dx.doi.org/10.32598/irjns.9.24 Use your device to scan and read the artcle online Artcle info: Received: 19 Apr 2023 Accepted: 20 Aug 2023 Available Online: 16 Nov 2023 Copyright © 2023 Guilan University of Medical Sciences. Published by Guilan University of Medical Sciences This work is licensed under a Creatve Commons Atributon-NonCommercial 4.0 Internatonal license(htps://creatvecommons.org/licenses/by-nc/4.0/). Noncommercial uses of the work are permited, provided the original work is properly cited.