@article{ref1,
title="Cervical injury related to mandibular fractures. A retrospective study of 315 cases",
journal="Cranio",
year="2019",
author="Cutilli, Tommaso and Scarsella, Secondo and Di Fabio, Desiderio and Oliva, Antonio and Continenza, Maria Adelaide and Sollecchia, Giacomo and Necozione, Stefano and Bernardi, Sara",
volume="37",
number="3",
pages="188-195",
abstract="OBJECTIVE To define the association between mandibular fractures and alterations of the cranio-atlo-axial joint (CAAJ). <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0886-9634",
doi="10.1080/08869634.2017.1398921",
url="http://dx.doi.org/10.1080/08869634.2017.1398921"
}