Risk Factors for Cervical Spine Injury in Patients With Mandibular Fractures

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Esa M FärkkiläLeonard B Kaban

Abstract

Patients with mandibular fractures are known to be at risk of concomitant cervical spine injuries (CSIs). The purpose of this study was to determine the incidence of and risk factors for CSIs in these patients. We conducted a retrospective cohort study of adult trauma patients with mandibular fractures from June 1, 2007, through June 30, 2017. Patients were identified through the Massachusetts General Hospital trauma registry and were included as study patients if they had a mandibular fracture and computed tomography or magnetic resonance imaging of the cervical spine. The primary predictor variable was the site of the mandibular fracture; the primary outcome variables were the presence of CSIs and death. The other variables were demographic characteristics (age, gender, alcohol use, and drug use), Injury Severity Score, Glasgow Coma Scale, presence of midface and extra-craniofacial injuries, and etiology. Data analysis consisted of univariate correlations and construction of a multivariate model to determine independent risk factors for CSIs. Of 23,394 patients in the trauma registry, 3,950 (17%) had craniomaxillofacial fractures and 1,822 (7.7%) had CSIs. The frequency of CSIs in the overall cohort of mandibular fracture pat...Continue Reading

Citations

Sep 2, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Nils MühlenfeldShahram Ghanaati
Jul 16, 2019·International Journal of Oral and Maxillofacial Surgery·E M FärkkiläL B Kaban
Feb 17, 2021·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Tero PuolakkainenJohanna Snäll
Feb 23, 2021·Craniomaxillofacial Trauma & Reconstruction·Manju Roby Philip, C S Soumithran
Feb 20, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Tero PuolakkainenJohanna Snäll

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