Roy - Camille Plates in Unstable Spinal Conditions

Abstract
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° -12°. 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.

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