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Posterior stabilization of cervical spine injuries using the Roy-Camille plates: a long-term follow-up

  • Demitrios Korres
  • Vassilios S. NikolaouEmail author
  • Maria Kaseta
  • Demetrios Evangelopoulos
  • Kostas Markatos
  • John Lazarettos
  • Nicolas Efstathopoulos
Original Article

Abstract

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.

Keywords

Roy-Camille plates Posterior stabilization Cervical spine Long term Results 

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • Demitrios Korres
    • 1
  • Vassilios S. Nikolaou
    • 2
    Email author
  • Maria Kaseta
    • 2
  • Demetrios Evangelopoulos
    • 3
  • Kostas Markatos
    • 2
  • John Lazarettos
    • 2
  • Nicolas Efstathopoulos
    • 2
  1. 1.Professor Emeritus, Orthopaedic DepartmentAthens UniversityAthensGreece
  2. 2.2nd Orthopaedic DepartmentAthens UniversityMaroussi, AthensGreece
  3. 3.3nd Orthopaedic DepartmentAthens UniversityAthensGreece

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