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Journal Article

Citation

Oller DW, Meredith JW, Rutledge R, Thomason M, Clancy T, Moylan J, Foil B. Accid. Anal. Prev. 1992; 24(2): 187-192.

Affiliation

Wake Medical Center, Wake AHEC, Raleigh, NC.

Copyright

(Copyright © 1992, Elsevier Publishing)

DOI

unavailable

PMID

1558627

Abstract

A state trauma registry database containing 13,834 patients was evaluated to determine the relationship among 1,062 skull fractures, 1,329 facial fractures, 339 cervical spine injuries, and 299 spinal cord injuries. Categories studied were all trauma patients, motor vehicle crashes, automobile crashes (drivers, passengers, unknown), and belted and unbelted victims. Odds ratios calculated demonstrated that patients with skull and/or facial fractures did not have a higher likelihood of cervical spine or spinal cord injury as has been suggested. The lack of a relationship emphasizes the need for a greater vigilance for cervical spine and spinal cord injury in the group without facial or skull fractures. It appears that the pathological biomechanical forces causing each injury are a reflection of the different multiple forces associated with motor vehicle trauma.

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