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The Prevalence of C-Spine Injury and/or Head Injury with Isolated and Multiple Craniomaxillofacial Fractures.
MedLine Citation:
PMID:  20639798     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND:: Several studies have reported the relationship between craniomaxillofacial fractures, cervical spine injuries and head injuries with varying results. Life-threatening injuries to the head and c-spine with devastating consequences cannot be missed by reconstructive surgeons during evaluation of facial trauma. The purpose of this study was to establish the prevalence of c-spine injuries and/or head injuries with isolated and multiple craniomaxillofacial fractures at trauma centers across the United States. METHODS:: The study was a retrospective chart review of International Classification of Disease Nine diagnosis and procedure codes from the National Trauma Data Bank between the years 2002 and 2006. This included data on over 1.3 million traumas from the United States and Puerto Rico. RESULTS:: In the setting of an isolated mandible, nasal, orbital floor, malar/maxilla or frontal/parietal bone fracture, c-spine injury ranged from 4.9% to 8.0%, head injury ranged from 28.7% to 79.9%, and concomitant c-spine and head injury was present from 2.8% to 5.8%. In the setting of two or more facial fractures, c-spine injury prevalence ranged from 7.0% to 10.8%. Head injury ranged from 65.5% to 88.7%, and concomitant c-spine and head injury was present from 5.8% to 10.1%. CONCLUSIONS:: This article represents the most accurate description of the prevalence of c-spine and/or head injury with craniomaxillofacial fracture at trauma centers in the United States.
Authors:
Rp Mulligan; Rc Mahabir
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-7-15
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  -     ISSN:  1529-4242     ISO Abbreviation:  -     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-7-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Division of Plastic Surgery, Scott & White and Texas A&M Health Science Center, Temple TX USA.
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