Rokaya, Poojan KumarKhadka, Nilam KumarGiri, Praveen KumarKhapung, RobinMahaseth, Nirajan2026-03-122026-03-122021https://hdl.handle.net/20.500.14572/5078Poojan Kumar Rokaya Department of Orthopedics & Trauma Surgery, Karnali Academy of Health Sciences, Nepal https://orcid.org/0000-0002-8777-2286 Nilam Kumar Khadka Department of Neurosurgery, National Academy of Medical Sciences, Nepal Praveen Kumar Giri Department of Anaesthesia and Critical Care, Karnali Academy of Health Sciences, Nepal Robin Khapung Department of Anaesthesia and Critical Care, Karnali Academy of Health Sciences, Nepal Nirajan Mahaseth Department of Anaesthesia and Critical Care, Karnali Academy of Health Sciences, NepalAbstract: Burst fracture of C5 with traumatic anterior spondyloptosis of C6 and posterior spondylolisthesis of C4 vertebra is an exceedingly rare high energy injury. Treatment includes decompression, reduction, stabilization, and fusion via anterior or posterior or combined anterior-posterior approach with or without prior traction. We report this rare subaxial cervical spine injury associated with quadriplegia managed with combined anterior and posterior instrumented fusion. A multidisciplinary approach with preoperative assessment and planning is crucial in managing cervical spine injury. Immediate postoperative critical care support, rehabilitation, and dedicated nursing care are required for a favorable outcome in traumatic quadriplegia.en-UScervical vertebraeinjuryspondylolisthesisArticle