Cervical spine injury in patients with facial skeletal trauma

J Trauma. 1989 Sep;29(9):1276-8. doi: 10.1097/00005373-198909000-00016.


The records of 2,555 patients admitted to hospital with facial fractures were reviewed for concomitant neck injury. Cervical spine injury occurred in 1.3% of all patients with facial fractures, the incidence rising to 5.5% with facial fractures resulting only from MVA's. Neck injuries occurred most frequently in the setting of MVA's (85%) and multisystem trauma (70%) and tended to involve two main levels of the cervical spine: C2 (31%) and the two lower cervical vertebrae C6 and C7 (50%). Examination of the pattern of cervical spine injury with respect to the pattern of facial skeletal injury does not support the premise of a direct causal relation between them.

MeSH terms

  • Adult
  • Cervical Vertebrae / injuries*
  • Facial Bones / injuries*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Skull Fractures / complications*
  • Spinal Injuries / complications