Cervical spine injuries in facial fracture patients ? injury mechanism and fracture type matter

Evidence supports the notion that craniofacial fractures are significant predictors of cervical spine injuries (CSIs), but some debate remains on injury mechanism co-existing CSIs in and relationship between CSI specific facial fractures. In this retrospective study, we aim to assess incidence rates fracture types as well other important variables their with CSIs. The primary outcome variable, CSI, several predictor variables, including type, were evaluated logistic regression analyses. Of 2919 patients, total rate was 3.0%. Rates patients isolated mandibular (OR 0.26 CI 0.10, 0.63; p = 0.006) lower than those previously reported, whereas nasal strongly associated 2.67 1.36, 5.22; 0.004). Patients concomitant cranial twice likely have 2.00, 1.22, 3.27; 0.006). Even though there is a strong occurrence injuries, clinicians should be aware presenting at risk for sustaining also.