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Advances in the Management of Cervical Spine Trauma
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Advances in the Management of Cervical Spine Trauma

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 20 August 2026 | Viewed by 957

Special Issue Editors

Prof. Dr. Jong-Beom Park

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, Uijeongbu St. Mary Hospital, The Catholic University of Korea College of Medicine, 271 Cheonbo-ro, Uijeongbu-si 11765, Republic of Korea
Interests: high cervical and subaxial injury; OPLL; cervical myelopathy; cervical radiculopathy; cervical disc arthroplasty; cervical deformity
Dr. Sung-kyu Kim

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju 61469, Republic of Korea
Interests: spine trauma; minimally invasive surgery; deformity; osteoporosis; degenerative disc disease; spinal stenosis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Cervical spine trauma remains a critical and complex clinical challenge, often leading to severe neurological deficits and long-term disability. This Special Issue aims to highlight recent advances in the clinical management of these injuries. We welcome original research, case series, and review articles that address practical aspects of diagnosis, injury classification, surgical decision-making, and patient outcomes.

Suggested topics include high cervical injuries (e.g., occipitoatlantal and atlantoaxial trauma), subaxial cervical fractures and dislocations, spinal cord injury, anterior and posterior surgical approaches, indications for fusion, complications, and functional recovery. Emphasis will be placed on studies that offer actionable insights for clinicians involved in the acute and long-term care of patients with cervical spine trauma.

We look forward to your clinically focused contributions that can help improve real-world patient management and outcomes.

Prof. Dr. Jong-Beom Park
Dr. Sung-kyu Kim
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cervical spine trauma
  • cervical fracture
  • high cervical injury
  • subaxial injury
  • surgical management
  • occipitocervical fusion
  • C1 fracture
  • C2 fracture
  • spinal stability
  • trauma imaging
  • spinal cord injury
  • neurological outcome

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Published Papers (2 papers)

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Research

11 pages, 578 KB  
Article
The Utility of Routine Postoperative Radiographs Following Surgical Treatment of Traumatic Cervical Spine Injuries
by Hershil Patel, Sapan Patel, Rohan I. Suresh, Vishal A. Khatri, Keerthana Srinivasan, Husni Alasadi, Evan Honig, Ryan Curto, Usman Zareef, Robin Fencel, Alexander Padovano, Louis J. Bivona, Daniel L. Cavanaugh, Eugene Y. Koh, Steven C. Ludwig and Julio J. Jauregui
J. Clin. Med. 2026, 15(6), 2231; https://doi.org/10.3390/jcm15062231 - 15 Mar 2026
Viewed by 323
Abstract
Background/Objectives: Postoperative cervical spine radiographs are routinely obtained during in-hospital and follow-up period. We aim to evaluate the utility of postoperative radiographs for identifying instrumentation failure and the subsequent need for revision surgery in patients with traumatic cervical spine injuries. Materials and [...] Read more.
Background/Objectives: Postoperative cervical spine radiographs are routinely obtained during in-hospital and follow-up period. We aim to evaluate the utility of postoperative radiographs for identifying instrumentation failure and the subsequent need for revision surgery in patients with traumatic cervical spine injuries. Materials and Methods: A retrospective chart review of patients who had surgical treatment for traumatic cervical spine injury was conducted. Clinical notes and radiographic reports were evaluated. Postoperative radiographs were obtained prior to discharge from the hospital, and subsequently at 2, 6, 12, 24 weeks, and 1 year. Patients who underwent revision surgery, described as any reoperation, were identified. The patients’ indications for surgery were evaluated. The results of postoperative radiographs that prompted a change in management and reoperation were analyzed. Sensitivity and specificity for postoperative radiographs were calculated. Results: A total of 295 patients were reviewed. The rate of revision surgery was 3.7% (n = 11). All 11 patients presented changes in clinical findings and physical exam, but only 3 patients (1%) were identified to have undergone revision surgery due to instrumentation failure seen on radiographs at 13, 89, and 112 days postoperatively, and none within the inpatient period. Two patients underwent revision surgery due to epidural hematoma, and six patients due to wound infection. The overall sensitivity and specificity of routine postoperative radiographs were 27% and 100%, respectively. Conclusions: Postoperative radiographs after cervical spine trauma have low clinical utility for predicting instrumentation failure in the absence of clinical findings, particularly in the inpatient period. Full article
(This article belongs to the Special Issue Advances in the Management of Cervical Spine Trauma)
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11 pages, 994 KB  
Article
Risk Factors for Radiologic Subaxial Cervical Pathology After C1-2 Posterior Fusion
by Chungwon Bang, Kee-won Rhyu, Young-Yul Kim, Joonghyun Ahn, Ji-hyun Ryu, Hyung-Youl Park, You Seung Chun, Kihyun Kwon, Sang-Il Kim, Hyoung Ju Seo and Young-Hoon Kim
J. Clin. Med. 2026, 15(5), 1852; https://doi.org/10.3390/jcm15051852 - 28 Feb 2026
Viewed by 319
Abstract
Background/Objectives: Atlantoaxial posterior fusion has unique characteristics, and it is anticipated that adjacent segment degenerative changes following fusion surgery may present distinctive findings. This study aims to analyze the risk factors for degenerative changes in subaxial levels following the increasingly common atlantoaxial [...] Read more.
Background/Objectives: Atlantoaxial posterior fusion has unique characteristics, and it is anticipated that adjacent segment degenerative changes following fusion surgery may present distinctive findings. This study aims to analyze the risk factors for degenerative changes in subaxial levels following the increasingly common atlantoaxial posterior fusion procedure. Methods: A total of 58 patients (19 males, 39 females) who had neutral, flexion, and extension plain lateral radiographs taken and a follow-up record of approximately two years post-surgery were included in the final study cohort. The study analyzed surgical methods, patient demographics, hospitalization-related factors, visual analog scale (VAS) for neck pain, and radiologic parameters. Patients were classified into the radiologic subaxial pathology (RSP) group (n = 34) and the non-RSP group (n = 24) using several radiologic indicators of spinal instability or arthritic changes, and the risk factors for RSP were analyzed. Results: The RSP group showed a significantly higher proportion of females and prevalence of rheumatoid arthritis (RA). At 3 months postoperatively, the C1-7 sagittal vertical axis (SVA) was significantly lower in the RSP group. Multivariate regression analysis using significant variables (p < 0.05) such as sex, RA and 3-month C1-7 SVA showed that RA and 3-month C1-7 SVA were significantly associated with RSP. Among radiologic parameters related to surgery, multivariate analysis identified 3-month C1-7 SVA as the sole risk factor for RSP. To explore its correlation with other radiologic parameters at 3 months postoperatively, linear logistic regression analysis was conducted. Significant positive correlations were observed with the C1-2 Cobb angle. Conclusions: This study identified RA and C1-7 SVA as the most significant risk factors for RSP in atlantoaixal posterior fusion. Full article
(This article belongs to the Special Issue Advances in the Management of Cervical Spine Trauma)
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