Cervical Spine Injuries and Maxillofacial Trauma
Stanko P., Novotňáková D., Jurík M., Zmeko Š., Gulla M., Záhorec J.1
Klinika ústnej, čeľustnej a tvárovej chirurgie LF UK a FN, Bratislava, prednosta prof. MUDr. I. Satko, DrSc. 1Stomatologická klinika LF UK a Onkologického ústavu sv. Alžbety, Bratislava, prednosta prof. MUDr. V. Javorka, Ph.D. |
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Summary:
Authors followed incidence of cervical spine injuries in a group of 778 patients with maxillofacial
trauma hospitalized at the Clinic for Oral and Maxillofacial Surgery, Medical School Comenius University and
Faculty Hospital in Bratislava during the years 2001 – 2004. They found in the whole group of the patients in 28
of cases (3.6 %) these diagnoses: distorsion of cervical spine (14 cases), contusion of cervical spine (4 cases), subluxation
of cervical vertebra (2 cases), posttraumatic vertebrogeneous cervicocranial syndrome or block (6 cases)
and fracture of a cervical vertebra (2 cases). Simultaneous maxillofacial injuries were mainly isolated double mandibular
fracture (5 of cases) and zygomaticomaxillary complex fracture (5 of cases), a facial contusion only occured
in two of the cases. Authors deal with the mechanisms of cervical injuries, the evaluation algorithm, some problems
of the diagnosis and the therapy. They emphasize prevention of a possible secondary lesion of the cervical
spine.
Key words:
cervical spine injuries – maxillofacial trauma – diagnosis – treatment
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