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



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).


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.


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.


Roy-Camille plates Posterior stabilization Cervical spine Long term Results 


Conflict of interest



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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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