Total scalp avulsion injury with cervical spine injury is rare. This article is to
            describe the technical difficulties and precautions to be taken during anatomical
            replantation. The patients with cervical spine injury should not be considered as
            an absolute contraindication for anatomical replant if patients are fit for general
            anaesthesia. We found that the supratrochlear and supraorbital vessels which are anterior
            and superficial temporal vessels which are lateral can be used to replant without
            much technical difficulty. We conclude that anatomical replant is always better keeping
            in mind the technical limitations of anatomical replant in case of cervical spine
            injury.
         KEY WORDS
Cervical spine injury - replantation - scalp avulsion