Cervical spine fractures associated with maxillofacial trauma: A 3-year-long study in the Greek population

Mourouzis, Constantinos; Krasadakis, Christos; Rallis, Georgios

doi:10.1016/j.jcms.2018.07.003

Cited by 9 publications

(10 citation statements)

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“…Furthermore, a British study reported that bony fractures, cervical subluxations, and dislocations accounted for 63% of the identified CSIs [21]. e majority of the CSIs occurred at C3-C7 level in the present study (72.9%), which is consistent with the finding from an earlier study conducted in the US (69.5%) [7], while around half of the CSIs occurred at C6-C7 [17,20,21], C5-C7 [18], and C4-C7 level [12] in other studies. is finding could be explained by the fact that C3-C7 level is the most frequently injured site in the cervical spine following trauma [35].…”

Section: Discussionsupporting

confidence: 91%

“…Consistent with the findings from an earlier study [21], all subjects who had both maxillofacial and CSIs were treated with collars, halo braces, sandbags, and tapes for intraoperative head and neck immobilization in the present study. Similarly, almost all of the participating subjects with CSI were treated conservatively with collar immobilization in other studies [20,23]. Additionally, there was no instance of increased neurological impairment as a result of surgical repair of the facial fractures in the current study.…”

Section: Discussionsupporting

confidence: 53%

“…Despite the low incidence of CSIs associated with maxillofacial trauma [8,[12][13][14][15][16][17][18][19][20][21][22][23], their consideration in maxillofacial fractures management is crucial due to the high risk of mortality and neurological complications [24,25], in addition to its significant physical, psychological, and social impact on the affected patients [26]. erefore, trauma protocols have emphasized on the importance of the association between maxillofacial fractures and CSI, and the potential negative impact of CSI misdiagnosis [6].…”

Section: Introductionmentioning

confidence: 99%

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Pattern of Facial Fractures and Its Association with a Cervical Spine Injury in a Tertiary Hospital in Jordan

Jarab

Bataineh

2022

International Journal of Clinical Practice

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Background. Facial fractures can be accompanied by serious and life-threatening injuries such as cervical spine injury (CSI), which can lead to serious consequences if misdiagnosed. Objective. To assess the patterns of maxillofacial fractures and to explore the association between these fractures and cervical spine injuries (CSIs) in patients with a traumatic facial injury. Methods. A retrospective analysis was conducted on the data of the subjects who were admitted to the King Abdullah University Hospital (KAUH) and had a maxillofacial fracture in the period from January 2017 through December 2020. Stepwise binary logistic regression analysis was conducted to find the variables which are significantly and independently associated with CSIs. Results. A total of 394 maxillofacial fractures were reported for a total of 221 subjects. The mandible was the most common site of the reported fractures (41.88%). The majority of the subjects had associated injuries (70.6%), of which 82.7% were CSIs. The most common type of the CSIs was the vertebral fracture (52%). Increased age (OR = 1.543, P < 0.05 ), having a mandibular fracture (OR = 4.382, P < 0.01 ), and having a maxillary fracture (OR = 3.269, P < 0.05 ) were significantly associated with the presence of CSI. Conclusion. The current study revealed that the most common type of facial fracture occurred in the mandible area, and CSI was the most common fracture-associated injury (82.7%). Increased age and having mandibular or maxillary fracture were associated with an increased risk of developing CSI. Therefore, it is necessary to rule out the presence of concomitant CSI during the emergency management of maxillofacial fractures, particularly for elderly patients and those with mandibular or maxillary fractures.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

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Pattern of Facial Fractures and Its Association with a Cervical Spine Injury in a Tertiary Hospital in Jordan

Jarab

Bataineh

2022

International Journal of Clinical Practice

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“…The injuries of the maxillofacial region (MFI) in these patients include soft tissue injuries as well as complex panfacial fractures 10 , 13 – 15 . The injury pattern of the cervical spine (CSI) ranges from distortion and severe bony or ligamentous injuries to injuries of the spinal cord itself 11 , 15 – 19 . An inadequate or delayed diagnosis can have disastrous consequences and may even lead to the death of the patient.…”

Section: Introductionmentioning

confidence: 99%

Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries

Bicsák

Sarge

Müller

et al. 2021

Sci Rep

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Concomitant maxillofacial and cervical spine injuries occur in 0.8–12% of the cases. We examined the relation of injury localization and the probability of cervical spine fracture. A retrospective study was conducted on patients that have been treated at Dortmund General Hospital for injuries both to the maxillofacial region and to the cervical spine between January 1st, 2007 and December 31th, 2017. Descriptive statistical methods were used to describe the correlation of cervical spine injuries with gender, age as well as maxillofacial injury localization. 7708 patients were hospitalized with maxillofacial injury, among them 173 were identified with cervical spine injury. The average ages for both genders lie remarkably above the average of all maxillofacial trauma patients (36.2 y.o. in male and 50.9 y.o. in female). In the group of men, most injuries were found between the ages of 50 and 65. Whereas most injuries among women occurred after the age of 80. The relative ratio of cervical spine injuries (CSI) varies between 1.1 and 5.26% of the maxillofacial injuries (MFI), being highest in the soft tissue injury group, patients with forehead fractures (3.12%) and patients with panfacial fractures (2.52%). Further, nasal, Le Fort I and II, zygomatic complex and mandibular condyle fractures are often associated with CSI. Fractures next to the Frankfurt horizontal plane represent 87.7% of all MFI with concomitant CSI. Patients in critical age groups with a high-energy injury are more likely to suffer both, MFI and CSI injuries. Our findings help to avoid missing the diagnosis of cervical spine injury in maxillofacial trauma patients.

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“…je to 2,63 % a u řeckých autorů Mourouzis a kol. 5,1 % [13,14]. Kraniofaciální poranění komplikovaná poraněním krční páteře jsou asociovaná se signifikantní mortalitou (8 %) [15].…”

Section: Diskuseunclassified

Mandibular Fractures and Their Relation to Facial Skeleton Trauma and Cervical Spine Damage

Mozoľa¹,

Tvrdy²,

Michl³

et al. 2021

Czech Dental Journal

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Cíl: Studie byla zaměřena na vyhodnocení etiologických faktorů zlomenin dolní čelisti a jejich četnost, vztah k ročnímu období a souvislost s poraněním skeletu hlavy a krku. Metodika: Byla provedena retrospektivní studie úrazů dolní čelisti na Klinice ústní čelistní a obličejové chirurgie ve Fakultní nemocnici Olomouc v období od 1. 1. 2013 do 31. 12. 2017. Bylo zaznamenáno 432 pacientů, u kterých byla radiograficky verifikována fraktura dolní čelisti. Klasifikace zlomenin se řídila klasifikačním systémem společnosti AOCMF. Bylo sledováno roční období, ve kterém k úrazu došlo, mechanismus poranění a zda byly poraněny i jiné struktury skeletu obličeje a krku. Výsledky: Z celkového počtu 432 pacientů bylo diagnostikováno 250 jednoduchých fraktur. Ve 182 případech se jednalo o násobnou zlomeninu a v 77 případech došlo k poranění jiných struktur skeletu hlavy a krku. Nejčastější příčinou bylo napadení (143krát, 33,10 %), následovaly pády, úrazy cyklistů a dopravní nehody. Maximum zlomenin dolní čelisti bylo zaznamenáno v měsíci červenci (50 pacientů). Závěr: Fraktura dolní čelisti je relativně častá diagnóza, nejčastěji je způsobena brachiálním násilím. Rizikovou skupinou jsou muži ve třetím deceniu. U žen je mechanismus vzniku jiný, příčinou jsou pády bez výraznější specifikace výskytu a určité věkové skupiny. Klíčová slova: zlomeniny dolní čelisti, trauma kostry obličeje, poškození krční páteře SUMMARY Aim: The study was focused on the evaluation of etiological factors of mandibular fractures, their frequency, relationship to the season and the relationship with head and neck skeletal injuries. Methodology: A retrospective study of lower jaw injuries was performed at the Department of Oral and Maxillofacial Surgery at the Olomouc University Hospital in the period from 01. 01. 2013 to 31. 12. 2017. 432 patients with radiographically verified mandibular fracture were reported. The classification of fractures was governed by the AOCMF classification system. The season in which the injury occurred, the mechanism of the injury, and whether other structures of the skeleton of the face and neck were injured were monitored. Results: Out of a total of 432 patients, 250 simple fractures were diagnosed. In 182 cases it was a multiple fracture and in 77 cases other structures of the skeleton of the head and neck were injured. The most common cause was evaluated 143 attacks (33.10%), followed by falls, cyclist injuries and traffic accidents. The maximum of mandibular fractures was recorded in July (50 patients).

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Cervical spine fractures associated with maxillofacial trauma: A 3-year-long study in the Greek population

Cited by 9 publications

References 26 publications

Pattern of Facial Fractures and Its Association with a Cervical Spine Injury in a Tertiary Hospital in Jordan

Pattern of Facial Fractures and Its Association with a Cervical Spine Injury in a Tertiary Hospital in Jordan

Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries

Mandibular Fractures and Their Relation to Facial Skeleton Trauma and Cervical Spine Damage

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