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

Abstract 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 injuri...

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Autores principales:	Ákos Bicsák, Robert Sarge, Oliver Müller, Stefan Hassfeld, Lars Bonitz
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e1f08b6d2a0349208d2c1633fa85ce2c
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spelling	oai:doaj.org-article:e1f08b6d2a0349208d2c1633fa85ce2c2021-12-02T14:58:19ZFracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries10.1038/s41598-021-91543-22045-2322https://doaj.org/article/e1f08b6d2a0349208d2c1633fa85ce2c2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91543-2https://doaj.org/toc/2045-2322Abstract 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.Ákos BicsákRobert SargeOliver MüllerStefan HassfeldLars BonitzNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ákos Bicsák Robert Sarge Oliver Müller Stefan Hassfeld Lars Bonitz Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries
description	Abstract 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.
format	article
author	Ákos Bicsák Robert Sarge Oliver Müller Stefan Hassfeld Lars Bonitz
author_facet	Ákos Bicsák Robert Sarge Oliver Müller Stefan Hassfeld Lars Bonitz
author_sort	Ákos Bicsák
title	Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries
title_short	Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries
title_full	Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries
title_fullStr	Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries
title_full_unstemmed	Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries
title_sort	fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/e1f08b6d2a0349208d2c1633fa85ce2c
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Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries

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