颈椎损伤与颌面创伤：一项系统综述。
Cervical Spine Injuries and Maxillofacial Trauma: A Systematic Review.
作者信息
AlMofreh Dds Feras, AlOtaibi Sami, Jaber Mohamed, Bishawi Dds Khaled, AlShanably Dds Ahmed, AlMutairi Faris
机构信息
Intern, Specialist Dental Hospital, Dammam Medical Complex, Saudi Arabia.
Department of Oral and Maxillofacial Surgery, King Saud University, Saudi Arabia.
出版信息
Saudi Dent J. 2021 Dec;33(8):805-812. doi: 10.1016/j.sdentj.2021.09.006. Epub 2021 Sep 14.
OBJECTIVES
Identify specific maxillofacial trauma patterns associated with cervical spine injuries.
METHODS
The protocol was developed according to (PRISMA-P) and was admitted to PROSPERO under accreditation code #CRD42020177816. Furthermore, the reporting of the present SR was conducted based on the PRISMA checklist.
RESULTS
Of the 1,407,750 patients recorded, a total of 115,997 patients (12.13%) had MFF with an associated CSI with a gender proportion (M:F) of 3.63:1 respectively. Motor vehicle accident was the most common cause of the combined Maxillofacial Trauma (MFT) and CSI. The most common CSI location was at the C2, followed by the C5 cervical spines. The most common location of a maxillofacial fracture resulting in a CSI was the mandible.
CONCLUSION
The incidence of the association of CSIs with MFT has been low (12.13%). Nevertheless, in cases of an isolated mandibular trauma due to a severe blow presenting with a low Glasgow Coma Scale, maxillofacial surgeons should be at a high alert of an associated CSI.
目的
确定与颈椎损伤相关的特定颌面创伤模式。
方法
该方案是根据（PRISMA - P）制定的，并已在PROSPERO注册，注册代码为#CRD42020177816。此外，本系统评价的报告是根据PRISMA清单进行的。
结果
在记录的1407750例患者中，共有115997例患者（12.13%）发生了伴有颈椎损伤的颌面骨折，性别比例（男：女）分别为3.63:1。机动车事故是导致颌面创伤合并颈椎损伤的最常见原因。最常见的颈椎损伤部位是C2，其次是C5颈椎。导致颈椎损伤的颌面骨折最常见部位是下颌骨。
结论
颈椎损伤与颌面创伤合并发生的发生率较低（12.13%）。然而，在因严重打击导致孤立性下颌骨创伤且格拉斯哥昏迷量表评分较低的情况下，颌面外科医生应高度警惕是否存在相关的颈椎损伤。
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