Omat Rachmat, Roro Nur Fauziyah, Ilma Fiddiyanti


Purpose : The purpose of this Study was to determine the incidence, risk factor and pattern of mandibullar fracture concomitant with cervical injury and other associated injury in trauma center of Drajat Prawiranegara Hospital Serang Banten

Method  : This is a retrospective cohort study of all trauma patients with mandibullar fracture concomitant with cervical injury from January 1, 2015, through July 30 2020.Patients were include as an eligible sample if they had CT Scan and MRI of mandibullar fracture and cervical injury. The primary Variable  was the site of mandibullar fracture, concomitant cervical injury and other associated injury. The other variables were demographic caracteristics, Site of cervical fracture,etiology and Glasgow Coma scale (GCS)

Results : 6850 patients in trauma registry, 630 patients had maxillofacial fracture and 30 patients had cervical injury.The frequency of of cervical injury inthe overall mandibullar farcture pastients wa 4,7 %(n:30). The mean age of patients with mandibullar fracture concomitant with cervical injury was 26 years (range 24-63 Years), 80 % were men. Patients with ramus mandibular fracture,motor vehicle crash etiology and upper  cervical injury had a highest frequency of cervical injury. Ramus mandibulalr fracture and Thorax/pelvic injury were independent risk fracture for Cervical injury in the multivariate model (p=0,0178 and p<0,0001).

Conclusion  : Patients with mandibular fracture due to motor vehicle crash after comprehensive cervical spine clinical examintion must be obtain cervical CT Scan or MRI to diagnosed concomitant cervical injury.  The aim of this protocol is to minimize the incidence of undiagnosed or delayed  diagnosed of cervical injury to prevent permanent neurologic impairment due to cervical injury. Fracture of Ramus Mandibular and chest and pelvic associated injury is ‘a danger sign’ of the risk of concomitant cervcal injury.

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1. Reich W, Surov A, Eckert AW: Maxillofacial trauma Underestimation of cervical spine injury. J Craniomaxillofac Surg 44:1469, 2016
2. Chu MW, Soleimani T, Evans TA, et al: C-spine injury and mandibular fractures: Lifesaver broken in two spots. J Surg Res 206:386,2016
3. Thoren H, Snall J, Salo J, et al: Occurrence and types of associated injuries in patients with fractures of the facial bones. J Oral Maxillofac Surg 68:805, 2010
4. Williams J, Jehle D, Cottington E, Shufflebarger C: Head, facial, and clavicular trauma as a predictor of cervical-spine injury. Ann Emerg Med 21:719, 2012
5. Mulligan RP, Mahabir RC: The prevalence of cervical spine injury, head injury, or both with isolated and multiple craniomaxillofacial fractures. Plast Reconstr Surg 126:1647, 2010
6. Whitesell RT, Steenburg SD, Shen C, Lin H: Facial fracture in the setting of whole-body CT for trauma: Incidence and clinical predictors. AJR Am J Roentgenol 205:W4, 2015
7. Mukherjee S, Abhinav K, Revington PJ: A review of cervical spine injury associated with maxillofacial trauma at a UK tertiary referral centre. Ann R Coll Surg Engl 97:66, 2015
8. Jamal BT, Diecidue R, Qutob A, Cohen M: The pattern of combined maxillofacial and cervical spine fractures. J Oral Maxillofac Surg 67:559, 2009
9. Fischer K, Zhang F, Angel MF, Lineaweaver WC: Injuries associated with mandible fractures sustained in motor vehicle collisions. Plast Reconstr Surg 108:328, 2010
10. Bayles SW, Abramson PJ, McMahon SJ, Reichman OS: Mandibular fracture and associated cervical spine fracture, a rare and predictable injury. Protocol for cervical spine evaluation and review of 1382 cases. Arch Otolaryngol Head Neck Surg 123:1304, 2007
11. Patel MB, Humble SS, Cullinane DC, et al: Cervical spine collar clearance in the obtunded adult blunt trauma patient: A systematic review and practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 78:430, 2015
12. Kanwar R, Dellasoberra BE, Hudson K, Frohna W. Emergency Department of evaluation and Treatment of Cervical spine Injuries.emerg med Clin North Am.2015 May.33 (2):241-82


Omat Rachmat
roronur70@yahoo.com (Primary Contact)
Roro Nur Fauziyah
Ilma Fiddiyanti
Rachmat, O. ., Fauziyah, R. N., & Fiddiyanti, I. . (2020). CERVICAL SPINE INJURY PATIENTS WITH MANDIBULLAR FRACTURE IN DRAJAT PRAWIRANEGARA HOSPITAL SERANG BANTEN. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 12(1). Retrieved from https://juriskes.com/index.php/jrk/article/view/1784

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