Background: Cervical spinal injuries when associated with neurological deficit is a devastating problem leading on to significant morbidity and mortality. 6% of trauma patients have spinal injury in which more than 50% is contributed by cervical spinal injury.

Methods: All patients with cervical spine injuries having neurological deficit who were admitted in orthopaedic department, GMC Jammu were included in this study conducted "between” August 2022 - July 2023, which was prospective one.

Results: In this study all the cases are male with most of the patients are in the age group of 41-50 years. Fall from height is the most common of injury followed by road traffic accident. C5-C6 # dislocation is most common spinal injury pattern. Incomplete neurological deficit are more in this study. Most of the cases are flexion distraction type of violence. Most of the cases presented with in one week of injury. Only 2 cases of 20 cases operated by global fusion, both of them are presented late and found to have locked facets. 2 out of 3 cases are expired from complete neurological deficit. Mobilisation of neck started after 6 weeks.

Conclusion: The ultimate goal of surgical intervention for subaxial cervical spine injuries is stabilization of spine, restoration of spinal anatomy, decompression of neural elements, there by promoting the neurological recovery and early facilitation of rehabilitation. In our study, we achieved a good functional outcome following surgical intervention.