A prospective study was conducted at Viet-Due hospital over a period of 2 years (3/2011-3/2013). Included in the study were 34 victims of tracfic accidents (58.8 percent) or falls (41.2 percent) sufferring from cervical spine injuries which associated with serious head injury. Mean age 27.4 years. Female/Male: 1/1.8. The systematic radiology permitted to diagnosis 79.4 percent cervical spine trauma. Quadriplegies and hemiplegies account for 61.8 percent patients. The 64.7 percent patients were underwent cranio-cerebral operation, in which 95.5 percent whom cervical lesions were determined before operation. CT scanner revealed cervical spine trauma in 93.3 percent. 70.6 percent patients sufferred from C3-C7 injuries. In terms of cerebral lesions, 70.6 percent subarachnoid hemorrhage, 55.9 percent subdural hematoma and contusions. In conclusion, the strict precaution of cevical spine injuries should be taken in all victims with the presence of severe head injury. The clinical features such as paralysis, cevical cutaneous lesions, cardio-respiratory deteriorations, and standard xquang of cervical column could suggest cervical spine injuries which could be confirmed by CT scanner, or IRM.