TY - JOUR
TI - Posterior stabilization of cervical spine injuries using the Roy-Camille plates: A long-term follow-up
AU - Korres, D.
AU - Nikolaou, V.S.
AU - Kaseta, M.
AU - Evangelopoulos, D.
AU - Markatos, K.
AU - Lazarettos, J.
AU - Efstathopoulos, N.
JO - EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
PY - 2014
VL - 24
TODO - SUPPL.1
SP - S125-S130
PB - Springer-Verlag France
SN - null
TODO - 10.1007/s00590-013-1376-x
TODO - adult;  article;  bone plate;  bone plating system;  bone screw;  cervical spine;  cervical spine injury;  controlled study;  dislocation;  falling;  female;  follow up;  human;  long term care;  major clinical study;  male;  neurologic disease;  plate fixation;  priority journal;  reoperation;  spine stabilization;  sport injury;  traffic accident;  devices;  Dislocations;  injuries;  percutaneous vertebroplasty;  Spinal Fractures;  spine fusion;  treatment outcome, Adult;  Bone Plates;  Cervical Vertebrae;  Dislocations;  Female;  Follow-Up Studies;  Humans;  Male;  Reoperation;  Spinal Fractures;  Spinal Fusion;  Treatment Outcome;  Vertebroplasty
TODO - Aim: Posterior cervical spine fixation has undergone tremendous advancement in recent years. The purpose of this study is to present our experience with the Roy-Camille instrumentation for posterior cervical stabilization after injury in a long-term follow-up. Patients and methods: From 1985 to 1995, 76 patients with a lower cervical spine traumatic lesion were treated in a single institution by posterior plate stabilization using the Roy-Camille plates (R-C plates). Fifty-four men and 22 women with a mean age of 43.2 years were involved. In 59 patients the injuries were due to a road traffic accident, in 14 cases the fall from a high was responsible, while in two cases the injuries were due to sport activities. There were four bilateral dislocations, nine unilateral dislocations, 56 fracture dislocations, five fracture separations of a lateral mass and two burst fractures. Neurological lesions were present in 65 patients (9 ASIA A, 16 ASIA B, 22 ASIA C, 18 ASIA D and 11 ASIA E). All patients had minimum follow-up of 7 years. Fifty-nine patients were followed up for a mean period of 21 years (14-27 years). Results: Stability was obtained in all but two cases. Reoperation was done in two cases: in one for the correction of the lost reduction and in a second for the reinsertion of a screw irritating a nerve root. No case in the ASIA A group showed neurological improvement, a fact observed in the other groups. Conclusions: The R-C plates were used in the last quarter of the last century. This technique showed good short-time results, and we have shown good results in a long-term follow-up as well. The literature referred to this technique was favorable, as far as the biomechanical behavior and also clinical application concern. The question about this plating system abundance still remains unanswered. © 2013 Springer-Verlag France.
ER -