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Chittiboina P, Banerjee AD, Nanda A. Do concomitant cranium and axis injuries predict worse outcome? A trauma database quantitative analysis. Skull Base. 2011;21(4):249-54doi: 10.1055/s-0031-1280679.
Chittiboina, P., Banerjee, A. D., & Nanda, A. (2011). Do concomitant cranium and axis injuries predict worse outcome? A trauma database quantitative analysis. Skull base : official journal of North American Skull Base Society ... [et al.], 21(4), 249-54. https://doi.org/10.1055/s-0031-1280679
Chittiboina, Prashant, et al. "Do concomitant cranium and axis injuries predict worse outcome? A trauma database quantitative analysis." Skull base : official journal of North American Skull Base Society ... [et al.] vol. 21,4 (2011): 249-54. doi: https://doi.org/10.1055/s-0031-1280679
Chittiboina P, Banerjee AD, Nanda A. Do concomitant cranium and axis injuries predict worse outcome? A trauma database quantitative analysis. Skull Base. 2011 Jul;21(4):249-54. doi: 10.1055/s-0031-1280679. PMID: 22470268; PMCID: PMC3312122.
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Skull Base. 2011 Jul;21(4):249-54. doi: 10.1055/s-0031-1280679.

Do concomitant cranium and axis injuries predict worse outcome? A trauma database quantitative analysis.

Skull base : official journal of North American Skull Base Society ... [et al.]

Prashant Chittiboina, Anirban Deep Banerjee, Anil Nanda

Affiliations

  1. Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana.

PMID: 22470268 PMCID: PMC3312122 DOI: 10.1055/s-0031-1280679

Abstract

We performed a trauma database analysis to identify the effect of concomitant cranial injuries on outcome in patients with fractures of the axis. We identified patients with axis fractures over a 14-year period. A binary outcome measure was used. Univariate and multiple logistic regression analysis were performed. There were 259 cases with axis fractures. Closed head injury was noted in 57% and skull base trauma in 14%. Death occurred in 17 cases (6%). Seventy-two percent had good outcome. Presence of abnormal computed tomography head findings, skull base fractures, and visceral injury was significantly associated with poor outcome. Skull base injury in association with fractures of the axis is a significant independent predictor of worse outcomes, irrespective of the severity of the head injury. We propose that presence of concomitant cranial and upper vertebral injuries require careful evaluation in view of the associated poor prognosis.

Keywords: Cervical spine; axis fractures; craniovertebral junction; skull base; trauma database

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