Posterior-approach osteosynthesis of the lower cervical spine by the R. Roy-Camille technique. (Indications and first results).
Four cases are reported of traumatic myelic lesions to the lower cervical spine (C3-C7) using the Roy-Camille technique. Three were complicated by tetraplegia, the fourth by upper right monoparesis. The optimal application for this technique is in stabilization of predominantly posterior lesions, which are far the most frequent: pure dislocations, fractures and fracture-dislocations of the articular apophysis, fractures with separation of the articular mass, most of the tear-drop patterns, some compound fractures, cervical distortions with lesion to the mobile segment of the spine. These metal implants have the advantage of being solid, of keeping stable the reduction obtained during surgery, of being applicable even in case of laminectomy or fracture of the laminae, of the spinous apophyses or the articular apophyses and, lastly, in case of tetraplegia, to allow abolition of the Minerva jacket in post-operative treatment.
D000328:Adult; D000368:Aged; D001860:Bone Plates; D002574:Cervical Vertebrae / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D008297:Male; D011782:Quadriplegia / Q000209:etiology / Q000628:therapy