Report of an eight-year experience with Camille’s transarticular technique of cervical spinal stabilization

Goel, Atul; Biswas, Chandrima; Shah, Abhidha; Rai, Survendra; Dandpat, Saswat; Bhambere, Sagar

doi:10.1016/j.jocn.2021.11.024

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…Using Camille's technique, we recently presented our experience with 2422 screws in 321 patients at cervical levels. [ 8 ] During the average follow-up of 33 months, there was no clinical or radiological evidence of screw back out or failure and successful bone fusion was obtained at each treated level. [ 8 ] The firm and strong physical nature of the facets that comprises primarily of cortical bone, provides a strong and reliable ground for screw purchase and stable fixation.…”

Section: Discussionmentioning

confidence: 99%

“…[ 8 ] During the average follow-up of 33 months, there was no clinical or radiological evidence of screw back out or failure and successful bone fusion was obtained at each treated level. [ 8 ] The firm and strong physical nature of the facets that comprises primarily of cortical bone, provides a strong and reliable ground for screw purchase and stable fixation. Our studies have identified that the bones of the facets are stronger than any other bone component of the vertebral segment and provide a strong ground for the purchase of screws, stabilization of the region, and an opportunity for bone fusion.…”

Section: Discussionmentioning

confidence: 99%

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Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction

Shah

Prasad

Vutha

et al. 2023

J Craniovert Jun Spine

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We describe cases of two patients with primary cervical bone tumors that resulted in extensive destruction of bones of the region. In the first patient, the tumor and its growth resulted in the destruction of C3–C5 vertebral bodies and the unilateral destruction of facets and pedicles. In the second case, there was focal destruction of the body and odontoid process and unilateral pedicle and facet of C2. Tumor resection and spinal stabilization were the aims of the surgery. In both cases, unilateral fixation of facets was done. In the first patient, multi-segmental transarticular fixation by Camille's technique was done, and in the second patient, unilateral lateral mass plate and screw fixation was done by the Goel technique. Solid bone fusion of spinal segments was observed at more than a 2-year follow-up in both cases. Based on this experience, it appears that unilateral facetal fixation can provide firm stability and can be used when other more frequently and popularly used techniques are either not available or possible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction

Shah

Prasad

Vutha

et al. 2023

J Craniovert Jun Spine

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“…Our several related articles present such observations. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 ] Patients presenting with gross or manifest spinal instability or spinal segmental malalignment that can be identified on static or dynamic radiological imaging are excluded from the analysis. Chiari formation, “idiopathic” syringomyelia, basilar invagination, myelopathy related to degenerative spinal disease, and ossification of the posterior longitudinal ligament, Hirayama disease, and several other so-called “pathological” clinical conditions are included in this cohort.…”

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confidence: 99%

“…Chiari formation, “idiopathic” syringomyelia, basilar invagination, myelopathy related to degenerative spinal disease, and ossification of the posterior longitudinal ligament, Hirayama disease, and several other so-called “pathological” clinical conditions are included in this cohort. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 ] Only spinal stabilization in cases with spinal trauma without radiological evidence of neural compression or deformation can result in neurological recovery. [ 19 ] Major neurological symptoms in the absence of direct proportional neural compression and recovery following spinal stabilization without any kind of decompression raise several questions.…”

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confidence: 99%

Can spinal instability by itself result in neurological symptoms and neurological deficits? An analysis

Goel

2023

J Craniovert Jun Spine

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“…We resort to the Camille technique of transarticular fixation and find it strong, simple, and safe; more importantly, it focuses on the fulcrum point of movements [ 32 , 33 ]. Using the strongest part of the spinal segment provides a base for strong screw purchase, firm stabilization, and a reliable opportunity for arthrodesis.…”

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confidence: 99%

Cervical Facet Joint Degeneration

Goel

2022

Neurospine

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To the editor, I read with interest the article by Okamoto et al., 1 as it directly relates to our clinical interests. The article is focused on observations of facet joint degeneration and its relationship with degenerative cervical myelopathy. Unfortunately, the authors did not include our several publications on the subject in their reference list. 2-8 I wish to update this subject, particularly as regards the clinical implications of facet joint degeneration. The observations of the authors regarding facet joint degeneration reinforce our hypotheses on the subject. [2][3][4][5][6][7][8] Although we agree with the authors that the evaluation of facets is less debated and that are only a few relevant reports, we contest their statement that the relationship between facet joint degeneration and degenerative spinal disease is unknown. [2][3][4][5][6][7][8][9][10][11] Mobility and stability are essential elements of life. Human beings are additionally burdened by their unique natural gift of a posture standing on 2 legs. The major bulk of human muscles is located on the extensor compartment of the body, or on its "back, " and cater to movements that facilitate sitting, standing, and running. However, relatively few strands of muscles are located in the flexor or anterior compartment of the body, flexion movement being essentially of a passive nature. The activity of all major extensor muscles is focused on the facetal articulation, which forms the point of fulcrum of all movements. In essence, the activity of no major muscle group is focused on the disc or the odontoid process, or in other words, the disc or the odontoid process does not form a fulcrum point of movement. Our articles have discussed the role of the disc and the odontoid process in human movements. We philosophized that both the disc and odontoid process are like opera conductors who regulate all music without holding any instrument in their hands. 12 While muscles are the brawn, the disc (and odontoid process) is the brain of all movements.We hypothesized that the weakness of muscles related to their disuse, abuse, or injury forms the basis of all spinal instability and deformities. [2][3][4][5][6][7][8][9][10][11] As the facets are the focal point of activity of spinal muscles and their movements, muscle incompetence has its initial impact on the facets and their articulation. We identified for the first time in the literature that such muscle weakness leads to telescoping or listhesis of the facets of spinal segments and labeled it as "vertical" spinal instability. 9 We hypothesized that vertical facetal instability is the primary issue in spinal degeneration and reduction in the disc space, bulging of the disc into spinal canal, buckling of intervertebral ligaments (including the posterior longitudinal ligament and ligamentum flavum), osteophyte formation, facetal and vertebral body fusion, and all the other known so-called "pathological" entities that lead to reduction in the spinal and neural canal dimensions are secondary natural responses. 7...

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Report of an eight-year experience with Camille’s transarticular technique of cervical spinal stabilization

Cited by 6 publications

References 33 publications

Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction

Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction

Can spinal instability by itself result in neurological symptoms and neurological deficits? An analysis

Cervical Facet Joint Degeneration

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