The prevalence of cervical spine injury, head injury, or both with isolated and multiple craniomaxillofacial fractures.
BACKGROUND
Several studies have reported the relationship among craniomaxillofacial fractures, cervical spine injuries, and head injuries with varying results. Life-threatening injuries to the head and cervical 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 cervical 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 Diseases, Ninth Revision diagnosis and procedure codes from the National Trauma Data Bank between the years 2002 and 2006. This included data on over 1.3 million trauma patients 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, cervical spine injury ranged from 4.9 to 8.0 percent, head injury ranged from 28.7 to 79.9 percent, and concomitant cervical spine and head injury was present in 2.8 to 5.8 percent. In the setting of two or more facial fractures, the prevalence of cervical spine injury ranged from 7.0 to 10.8 percent. The prevalence of head injury ranged from 65.5 to 88.7 percent, and the prevalence of concomitant cervical spine and head injury ranged from 5.8 to 10.1 percent.


CONCLUSIONS
This article represents the most accurate description of the prevalence of cervical spine and/or head injury with craniomaxillofacial fracture at trauma centers in the United States.
Temple, Texas From the Division of Plastic Surgery, Scott & White Memorial Hospital, and Texas A&M Health Science Center.
Ryan P
RP
Mulligan
Raman C
RC
Mahabir
D002574:Cervical Vertebrae / Q000293:injuries* / Q000601:surgery; D006259:Craniocerebral Trauma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005147:Facial Bones / Q000293:injuries* / Q000601:surgery; D050723:Fractures, Bone / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D019651:Plastic Surgery Procedures; D012307:Risk Factors; D012887:Skull Fractures / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016103:Spinal Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013124:Spinal Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery