Simultaneous fracture of the maxilla and cervical vertebrae rarely occurs in bicycling accidents. The following case report describes a simple technique for closed reduction of a severely comminuted maxillary fracture with shattering of the dentoalveolar process. The combination of a rigid external distractor halo frame on the skull, a Kirschner wire through the maxilla, and an intermaxillary wire fixation resulted in stable vertical and sagittal correction of the fragmented maxilla with adequate access and minimal manipulation and without necessitating removal of the cervical collar.
GassnerRTuliTEmshoffRWaldhartEMountainbiking—a dangerous sport: comparison with bicycling on oral and maxillofacial traumaInt J Oral Maxillofac Surg199928188–191
2.
ElahiM MEBrarM S.AhmedNHowleyD B.NishtarSMahoneyJ L.Cervical spine injury in association with craniomaxillofacial fracturesPlast Reconstr Surg2008121201–208
3.
HaugR H.PratherJIndresanoA T.An epidemiologic survey of facial fractures and concomitant injuriesJ Oral Maxillofac Surg199048926–932
4.
MulliganR P.MahabirR C.The prevalence of cervical spine injury, head injury, or both with isolated and multiple craniomaxillofacial fracturesPlast Reconstr Surg20101261647–1651
5.
ElhammaliNBremerichARustemeyerJDemographical and clinical aspects of sports-related maxillofacial and skull base fractures in hospitalized patientsInt J Oral Maxillofac Surg201039857–862
6.
MansonP N.Some thoughts on the classification and treatment of Le Fort fracturesAnn Plast Surg198617356–363
7.
KimK K.ZhaoLBelafskyPPatelP K.StrongE B.Technical note: “look-ahead” navigation method for K-wire fixation in rhinoplastyOral Surg Oral Med Oral Pathol Oral Radiol Endod2008105168–172
8.
GrussJ S.MackinnonS E.Complex maxillary fractures: role of buttress reconstruction and immediate bone graftsPlast Reconstr Surg1986789–22
9.
MitsukawaNSatohKMorishitaTHosakaYClinical application of distraction osteogenesis for traumatic maxillofacial deformitiesJ Craniofac Surg200617431–437
