Cervical injury related to mandibular fractures. A retrospective study of 315 cases
| Autor: | Tommaso Cutilli, Maria Adelaide Continenza, Antonio Oliva, Giacomo Sollecchia, Stefano Necozione, Desiderio Di Fabio, Secondo Scarsella, Sara Bernardi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Cervical Disorder
Joint Dislocations Poison control Computed tomography rotation 03 medical and health sciences 0302 clinical medicine atlanto-axial joint subluxation cervical sprain traumatology computer tomography Mandibular fractures Cervical Vertebrae Humans Retrospective Studies Cervical Atlas Mandibular Fractures medicine Statistical analysis Multiple fractures General Dentistry Subluxation Orthodontics medicine.diagnostic_test business.industry Retrospective cohort study 030206 dentistry medicine.disease Cervical injury Otorhinolaryngology business 030217 neurology & neurosurgery |
| Zdroj: | CRANIO®. 37:188-195 |
| ISSN: | 2151-0903 0886-9634 |
| DOI: | 10.1080/08869634.2017.1398921 |
| Popis: | Objective To define the association between mandibular fractures and alterations of the cranio-atlo-axial joint (CAAJ). Methods 315 cases of displaced mandibular fractures were retrospectively evaluated by CT scan and cervical X-ray for associated alterations of the CAAJ. Statistical analysis employed the chi-square and Cohen's kappa coefficient. Results Single fractures amounted to 69.84% and multiple fractures to 30.16% of total fractures. CT scans showed a rotation of the atlas on the same side of single fractures and subluxation of the CAAJ. Vertical derangement of the joint was observed in 79.65% of single fractures and in 20.35% of multiple fractures. Approximately16.19% of all displaced mandibular fractures showed cervical disorders at long-term follow-up. Discussion The outcomes of this study revealed an association between traumatic mandibular fractures and CAAJ, accompanied by clinical disorders. These conditions require clinical attention due to their effects on long-term craniocervical functionality and future forensic issues. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|