الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The surgery of the cervical spine is one of the common surgeries in neurosurgery; this is attributed to the high number of patients with complaints related to lesions in this part of the spine. Many approaches have been invented to deal with such lesions.
Of the common lesions encountered in the practice of neurosurgery in relation to the cervical spine are disc prolapse, cervical canal stenosis, cervical spondylosis, fractures of the cervical spine and tumors arising either from the cord or from the bony spine.
Thirty patients were included in this study, they presented with different complaints, namely neck pain, brachialgia, numbness, stiffness, neck swellings, weakness, and sphincteric disturbance.
On examination, different signs were noted, motor, and sensory deficit, hypotonia, hypo-reflexia, and spasticity.
Different investigations are essential prior to any action including laboratory investigations and different imaging studies such as plain X-ray films, CT scan especially for the upper part of the spine with its recent form the multi-slice CT and MRI.
In this study, three different approaches in cervical spine surgery are discussed with their indications, operative details, outcomes, and complications.
10 patients were operated upon through each approach. These approaches were namely; anterior, posterior, and retro-pharyngeal approach.
Through the anterior approach simple diskectomy and diskectomy with bone fusion for cases presenting with cervical disc prolapse, also anterior plate fixation plus bone fusion after diskectomy for cases of fractured cervical spine were done.
Posterior approach was used for laminectomy in cases with multilevel cervical disc prolapse or spondylosis, besides excision of lesions located posteriorly.
Excision of lesions located lateral to the upper part of the cervical spine and plate fixation of fracture C2/C3 vertebra were performed through the retro-pharyngeal approach.