Journal of
eISSN: 2373-6410
Submit manuscript...
Case Report Volume 15 Issue 5
Double surgical approach in the treatment of cervical spine pathologies: experience of the Neurosurgery Department of the National Hospital of Niamey
Haboubacar Chaibou Sodé, Hassan Maman Laouel, Maman Sani Ado Zakari, Brice Audrey Sawa Nouga, Assoumane Issa Ibrahim, IBN Halid Nana Rachida, Alzouma Haoua, Habi Nikiema, A Hima-Maiga, Aminath Kelani
Service de neurochirurgie, hospital National de Niamey, Niger
Université Moderne de science de la santé (UM2S), Niger
Faculté de science de la Santé, Université André Salifou de ZINDER, Niger
Service de réanimation, Hôpital National de Zinder(HNZ), Niger
Service de réanimation, Hôpital General de Référence de Niamey(HGR), Niger
Faculté de science de la Santé, Université Abdou Moumouni de Niamey, Niger Service de neurochirurgie, hospital National de Niamey, Niger
Received: October 10, 2025 | Published: October 28, 2025
Citation: Sodé HC, Laouel HM, Zakari MSA, et al. Double surgical approach in the treatment of cervical spine pathologies: experience of the Neurosurgery Department of the National Hospital of Niamey. J Neurol Stroke. 2025;15(5):130-134. DOI: 10.15406/jnsk.2025.15.00636
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
©2025 Sodé, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.