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Cervical spine injuries.

Jeff W Chen1

  • 1Legacy Emanuel Hospital, Portland, OR, USA. jchen@lhs.org

Oral and Maxillofacial Surgery Clinics of North America
|July 8, 2008
PubMed
Summary
This summary is machine-generated.

This article reviews cervical spine anatomy, common fractures, and associated spinal cord syndromes. Understanding these injuries is crucial for maxillofacial surgeons, especially after motor vehicle accidents, to prevent further spinal damage during facial/cranial surgery.

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Area of Science:

  • Orthopedics
  • Neurology
  • Maxillofacial Surgery

Background:

  • Cervical spine anatomy and common fracture types are detailed.
  • Cervical spinal cord syndromes often indicate underlying spinal cord injury.
  • Motor vehicle accidents are a common cause of combined maxillofacial and spinal injuries.

Purpose of the Study:

  • To inform maxillofacial surgeons about cervical spine injuries.
  • To emphasize the importance of recognizing spinal cord syndromes.
  • To highlight the need for spinal immobilization before facial/cranial surgery.

Main Methods:

  • Review of cervical spine anatomy.
  • Description of common cervical spine fracture types.
  • Discussion of cervical spinal cord syndromes and their neurological findings.

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Main Results:

  • Neurologic examinations can reveal cervical spinal cord syndromes, suggesting spinal injury.
  • Maxillofacial and spinal injuries frequently co-occur, particularly after motor vehicle accidents.
  • Spinal immobilization is essential prior to maxillofacial surgery to prevent iatrogenic injury.

Conclusions:

  • Maxillofacial surgeons must be aware of potential cervical spine injuries in patients with facial trauma.
  • Early recognition of spinal cord syndromes is vital for diagnosing associated spinal injuries.
  • Pre-operative spinal stabilization is critical to avoid worsening spinal cord damage during surgery.