Introduction: Traumatic cervical spine injuries is one of the most common causes of spinal cord injury. Life-long disability and death are common devastating consequences of trauma to the cervical spine, leading to numerous physical, functional disabilities with social and economic burdens. Study aim: To describe pattern of acute traumatic sub-axial cervical spine injuries and the probable permanent disability resulting from it. Patients and methods: A descriptive cross-sectional study was conducted upon 60 patients of acute traumatic sub-axial cervical spine injuries (C3-C7) attending the Emergency Department, Suez Canal University Hospital from January 2020 to December 2020. Pattern of sub-axial cervical spine injuries was determined from clinical findings and imaging studies. Level and extent of the injuries were identified using the American Spinal Injury Association (ASIA) scoring and grading system at admission time. Outcome was assessed after 12 months follow-up period. Result: Most participants were males (81.7%). The mean age was 23.3± 4.8 years with a majority in age group (20–