Facial Injuries Associated with Cervical Fractures

Abstract
Publications in both the orthopedic and maxillofacial literature have noted the association of cervical spine and facial injuries. Because the incidence of spinal injury is low, no study was found which documented the relationship between maxillofacial and cervical spine injuries. Cervical spine injuries (982) were reviewed in 2 major trauma centers, finding a 19.3% incidence of facial injury. Fourteen percent of patients had soft-tissue injuries and 8.6%, facial fractures. Important relationships were noted between fractures of the mandible and upper cervical spine, and soft-tissue injuries of the upper face and fractures of the lower cervical spine. Methods of care adapted to the combined injuries are described. Examination of the face for soft-tissue and bony injuries may give important clues on the direction and intensity of the force injuring the cervical spine.

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