Double surgical approach in the treatment of cervical spine pathologies: experience of the Neurosurgery Department of the National Hospital of Niamey
- Journal of Neurology & Stroke
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Haboubacar Chaibou Sodé,<sup>1,2</sup> Hassan Maman Laouel,<sup>3,4</sup> Maman Sani Ado Zakari,<sup>1,5</sup> Brice Audrey Sawa Nouga,<sup>1</sup> Assoumane Issa Ibrahim,<sup>1,6</sup> IBN Halid Nana Rachida,<sup>1</sup> Alzouma Haoua,<sup>1</sup> Habi Nikiema,1 A Hima-Maiga,<sup>1</sup> Aminath Kelani<sup>1,6</sup>
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Abstract
Objective: To evaluate the indications, surgical techniques, and outcomes of dual surgical approaches in the management of complex cervical pathologies in a resource-limited setting. Methodology: A retrospective and prospective study was conducted between January 2021 and December 2023 in the Neurosurgery Department of the Niamey National Hospital. The patients included presented with cervical pathology requiring dual surgical approaches (anterior and posterior). Results: Five patients underwent dual-access surgery, including three men and two women. Three cases were secondary to cervical trauma, and two to advanced cervical arthritic myelopathy. The indication for dual access was based on failed decompression or persistent instability after a single approach. The operative strategy was dictated by the type of injury, with particular attention to spinal stabilization. Early sensory and motor recovery was observed in all patients postoperatively. Conclusion: Dual surgical access is a relevant approach for complex cervical pathologies. It allows for effective decompression and optimal stabilization, despite high technical complexity and an increased risk of complications.
Keywords
cervical spine, dual surgical approach, spinal cord compression, cervical instability, niamey
