Roy-Camille plates in unstable spinal conditions. A preliminary report.
From 1979 to 1982, 21 consecutive patients with posttraumatic or pathologic fractures of the spine were treated at the University of Sherbrooke by Roy-Camille plates to provide stabilization. Ten burst fractures and 11 fracture-dislocations were treated in this manner. Nine patients had complete paraplegia, 6 had various neurologic deficits, and 6 had no neurologic problems before operation. Using the technique described by Roy-Camille, the authors stabilized the spine with two plates in 18 patients and one plate plus fusion in 3. No major complications occurred with surgery nor after a follow-up of 1-3 1/2 years. Sixteen patients had no loss of correction, and 5 lost 10 degrees-12 degrees. This technique was safe and effective and thought to be a valid alternative to conventional forms of spinal fixation, particularly in paraplegic patients, in those with spinal metastasses, and in those necessitating extensive laminectomies impairing spinal stability.
P
P
Kinnard
A
A
Ghibely
D
D
Gordon
A
A
Trias
J
J
Basora
D000293:Adolescent; D000328:Adult; D000368:Aged; D001860:Bone Plates; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D013997:Time Factors