Primary Management and Treatment Consideration for Patients with Mandibular Fracture and Cervical Spine Injury: A Case Report

Abstract

Introduction: Traffic accidents were the main cause of craniofacial trauma. High force trauma to the head and neck regions may involve mandibular fractures and cervical spine injuries. The principles of trauma management (ABCDE) are often modified and supplemented with other methods in case of multiple trauma injuries. Management of the patient during trauma protocols and operative treatment has the potential to cause serious spinal cord injuries. Case: The clinical case is shown from the adult male patient, 22 years old, which came to Hasan Sadikin Hospital emergency department with a wound in the face, bleeding from the mouth, after having a traffic accident. There was no history of alcohol intoxication and loss of consciousness. The patient was diagnosed with multiple mandible fractures and cervical spine injury. Case management: Based on adequate clinical, laboratory, and radiographic examination, emergency management is based on ATLS principles, including treatment consideration for the patient with a cervical spine injury. Conclusion: Multiple mandibular fractures were correlated with a cervical spine injury. A multidisciplinary approach, including consultation with neurosurgeons for diagnosis and stabilization of cervical spine injuries.