Internal Fixation of the Unstable Cervical Spine Using Posterior Roy-Camille Plates

Na, Ebraheim; Hs, An; Wt, Jackson; Ja, Brown

doi:10.1097/00005131-198903010-00005

Cited by 52 publications

(13 citation statements)

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“…12,13 Biomechanical comparison of posterior cervical fixation with traditional wiring procedure, Rogers' technique, 14 has shown that posterior plating techniques using lateral mass [15][16][17] Before this study, Francis 5 in 1955 reported the total anterior and posterior diameter of 285 atlas vertebrae. Liu et al 18 reported detailed external dimensions and facet joint surface morphologies for a total of three C1 vertebrae.…”

Section: Discussionmentioning

confidence: 99%

Quantitative Anatomy of the Lateral Mass of the Atlas

Yin

Hong²,

Li³

et al. 2003

Spine

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Section: Discussionmentioning

confidence: 99%

Quantitative Anatomy of the Lateral Mass of the Atlas

Yin

Hong²,

Li³

et al. 2003

Spine

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“…According to several reported anatomic 14,18,31) and clinical studies 6,8,16,23,26,30) , the two most popular types of lateral mass screw techniques are the Roy-Camille technique, in which the screw is inserted perpendicular to the posterior surface of the lateral mass, and the Magerl technique, in which the screw is directed 25 degrees laterally and parallel to the superior facet joint. The Roy-Camille technique is associated with a higher Objective : Our purpose of this study is to compare insertion angles and screw lengths from Roy-Camille, Magerl, and our designed method for cervical lateral mass screw fixation in the Korean population by quantitative measurement of reformatted two dimensional (2D) computed tomography (CT) images.…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Cervical Lateral Mass Screw Insertion among Three Techniques in the Korean Population by Quantitative Measurements with Reformatted 2D CT Scan Images : Clinical Research

Cho

Kim

2008

J Korean Neurosurg Soc

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“…Hence this technique of screw placement requires little longer size in view of the oblique trajectory and offers better strength to the construct. 10,11 Anderson et al modified Magerl technique.…”

Section: Discussionmentioning

confidence: 99%

Post Traumatic Instability of Sub - Axial Cervical Spine - Reduction and Internal Fixation by Lateral Mass Screws : A Long Term Follow - Up Study

Bhaskar¹,

Reddy²,

Rao³

et al. 2015

jemds

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AIM:We present here the clinical results of 24 patients who were operated for cervical instability following trauma by lateral mass fixation at our institution between July 2010 and Dec 2013 and to assess the stability of the construct at 2yr follow-up study. MATERIALS AND METHODS: Between July 2010 and Dec 2013 a total of 24 pts. Were operated by lateral mass fixation for cervical spine instability following trauma to subaxial cervical spine between C3-C6. Presenting with posterior element injury like facet locking and subluxation injuries were included in the study. All these patients were evaluated postoperatively for neurologic improvement, complications and Results were analyzed. RESULTS: A total of 104 screws were placed in to the lateral masses during the study. There were 8(33.3%) deaths in this series not related to the surgical procedure. There were no immediate complications related to the procedure. There was no evidence of neurovascular injury either during the procedure or immediately following the surgery. There was CSF leak in one case of badly traumatized cord injury during the procedure. Neurological improvement was seen in 13(81.2%) out of surviving 16 cases of trauma at the end of 3m to the extent of self-ambulation and the rest three did not show any improvement and remained quadriplegic. CONCLUSION: In this study we report good long term stability achieved by the lateral mass fixation with rods and screws with least morbidity and the safety of the procedure compared to other methods of posterier elements fixations. Both Roy Camille and Magerl technique can be followed for screw placement, where in Magerl technique has slight advantage of avoiding the nerve root injury and a longer screw can be placed to achieve a good bony purchase. Over all it is very safe and efficacious procedure in the hands of an experienced surgeon.

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Internal Fixation of the Unstable Cervical Spine Using Posterior Roy-Camille Plates

Cited by 52 publications

References 0 publications

Quantitative Anatomy of the Lateral Mass of the Atlas

Quantitative Anatomy of the Lateral Mass of the Atlas

Comparative Analysis of Cervical Lateral Mass Screw Insertion among Three Techniques in the Korean Population by Quantitative Measurements with Reformatted 2D CT Scan Images : Clinical Research

Post Traumatic Instability of Sub - Axial Cervical Spine - Reduction and Internal Fixation by Lateral Mass Screws : A Long Term Follow - Up Study

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