Background: Cervical spine surgeries done through anterior approach and posterior approach. Anterior approach is preferred in degenerative conditions and cervical spine injury. Posterior approach preferred in pathological conditions like intra dural extra tumor. Our study is to analyse the functional outcome and recovery of patients who undergone cervical spine surgeries by anterior cervical discectomy and fusion (ACDF) by bone graft with or without instrumentation, anterior cervical decompression by corpectomy and fusion and posterior cervical decompression by laminectomy.Methods: This cross-sectional study contains patients admitted in Surgery Department, Gandhi Medical College and Hamidia Hospital, Bhopal between July 2017 to April 2019 with degenerative disease/trauma/pathological (tumor) having neurological deficit or not, to know the clinical outcome after cervical spine surgeries anterior approach and posterior approach after approval from ethical committee.Results: In 70 cases of study 09 patients had mild preoperative neurology score (15-17) in which 3 patients had no improvement after 6 months and 06 patients improved (normal function). 39 patients had moderate preoperative neurology score (12-14) in which 28 patients improved with moderate to mild score and 03 patients remain same (no improvement). 03 patients improved after 1 year with mild score. 22 patients had severe preoperative neurology score (0-11) in which 05 cases improved with severe to moderate score and 05 cases improved with severe to mild score. These 05 cases improved with mild score after 1 year.Conclusions: Anterior approach is better than posterior approach in our study which is comparable with existing studies in terms of hospital stay, neurological recovery and final outcome.

Overview:  Infants experience stressors. Stress responses in infants include physiological responses (HR and oxygen saturation) and behavioral responses (behavioral state, motor activity, and signs of behavioral distress). Modulation of the stress response in infants may reduce energy demands and enhance recovery. The characteristics of auditory stimulation provided by music differ from those of other types of auditory stimulation. The infants respond differently to music than to other random noises. This study was carried out to examine the effects of different types of music on vital signs of infants. Methodology: Thirty infants were included in the study. They were divided into two groups. Low and High pitched music was used with for two individual groups. The immediate effect was assessed through pre and post recordings for Heart rate, Reapiratory rate and O2 saturation level. Results: There was statistically significant change in Heart Rate, Respiratory Rate and O2 saturation individually. While comparing post data, except Heart Rate there was no significant difference found with both types of music. Conclusion: Low pitched music has better immediate effect than high pitched music Key words: High pitched music, Low pitched music, Infants