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首页> 外文期刊>International journal of oral and maxillofacial surgery >Frequency of cervical spine injuries in patients with midface fractures
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Frequency of cervical spine injuries in patients with midface fractures

机译：地下骨折患者颈椎损伤的频率

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摘要

The aim of this retrospective cohort study was to determine the frequency and risk factors for cervical spine injury (CSI) in patients with midface fractures. Patients >= 18 years of age entered in the Massachusetts General Hospital Trauma Registry from 2007 to 2017 were identified. Those with a midface fracture, computed tomography and/or magnetic resonance imaging of the cervical spine, and complete medical records were included. There were 23,394 patients in the registry; 3950 (16.9%) had craniomaxillofacial fractures and 1822 (7.8%) had a CSI. Craniomaxillofacial fractures included fractures of the midface (n = 2803, 71.0%), mandible (n = 873, 22.1%), and midface plus mandible (n = 274, 6.9%). The overall frequency of CSI in patients with midface fractures was 11.4% (350/3077). Patients with midface fractures had a higher risk for CSI compared to patients without a midface fracture (odds ratio 2.4, 95% confidence interval 2.1-2.4, P < 0.001). In a multivariate model, nasal and orbital fractures, chest injuries, age, injury severity score, and motor vehicle crash or fall as the etiology were independent risk factors for CSI. Mortality was two times higher in subjects with CSI. Early and accurate diagnosis of CSI is a critical factor when planning the treatment of patients with these fractures.
机译：该回顾性队列研究的目的是确定地下骨折患者颈椎损伤（CSI）的频率和危险因素。患者> = 18岁，在马萨诸塞州进出的一般医院2007年至2017年创伤登记处。包括颈椎的中间骨折，计算断层扫描和/或磁共振成像的那些，以及完整的医疗记录。注册处有23,394名患者; 3950（16.9％）有颅瘤裂缝骨折，1822（7.8％）有CSI。 CranioMaxillofacial裂缝包括中间裂缝（n = 2803,71.0％），下颌骨（n = 873,22.1％）和midade加下颌下（n = 274,6.9％）。中土骨折患者中CSI的总频率为11.4％（350/3077）。与没有中间骨折的患者相比，患有Maface骨折的患者具有更高的CSI风险（差距2.4,95％置信区间2.1-2.4，P <0.001）。在多元模型，鼻腔和眶骨折，胸部伤害，年龄，伤害严重程度和机动车崩溃或下降，因为病因是CSI的独立危险因素。 CSI的受试者中死亡率较高了两倍。早期和准确诊断CSI是规划这些骨折治疗患者时的关键因素。

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