Treatment of Cervical Spine Injuries by a Posterior Osteosynthesis with Plates and Screws

Roy-Camille, R; Mazel, C.; Saillant, G

doi:10.1007/978-3-7091-8882-8_29

Cited by 97 publications

(135 citation statements)

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“…The efficacy of PMMA for increasing peak insertional torque and pullout force of cervical spine facet screws placed in the technique by Roy-Camille et al [22] depends on the amount: a small amount is not sufficient, but filling the burr hole completely seems to be useful. Bone mineral density of the cervical facets correlates moderately with both peak insertional torque and pullout force of facet screws.…”

Section: Resultsmentioning

confidence: 99%

“…Mean pullout force of cervical spine facet screws has been investigated previously: Montesano found that pullout force of facet screws placed in the technique by RoyCamille et al [22] was about 152 N, whereas it was 585 N if the screws were paced according to Magerl [15]. Errico, in a study using bovine spinal specimens, found comparable results: the mean pullout force of a screw placed in the technique by Magerl was 471 N [2].…”

Section: Comparison With Former Studiesmentioning

confidence: 90%

“…According to Roy-Camille et al's method [22,26], a burr hole was drilled into each facet with a 2-mm drill (Aesculap, Tuttlingen, Germany) and the anterior cortical shell of the facet was perforated in each; therefore, the screws could be fixed bicortically. The length of the burr hole was measured using a caliper.…”

Section: Preparation Of Specimensmentioning

confidence: 99%

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Factors affecting the interface of cervical spine facet screws placed in the technique by Roy-Camille et al.

et al. 2004

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Section: Resultsmentioning

confidence: 99%

Section: Comparison With Former Studiesmentioning

confidence: 90%

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Factors affecting the interface of cervical spine facet screws placed in the technique by Roy-Camille et al.

et al. 2004

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“…Plates and lateral mass screws can be used in multilevel cervical as well as occipitocervical instabilities [3,19]. As decribed by Roy-Camille, transpedicular C2 fixation can be used in cases of hangman's fracture [34]. Recently, the use of transpedicular screw fixation has been reported in the subaxial cervical spine as well [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…The traditional fixation to the occiput has been with wires [10,16]. More stable fixations, such as the Ransford Loop and the Roy-Camille OC plate [34], may improve fusion and allow mobilization without external support.…”

Section: Introductionmentioning

confidence: 99%

Cotrel Dubousset instrumentation in occipito-cervico-thoracic fusion

Fagerström

Hedlund

2002

Eur Spine J

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IntroductionSince Hadra first described the time-honored technique of cervical wiring, several alternative fixation techniques have been developed, all with inherent limitations and risks.In atlanto-axial surgical stabilization, the Gallie wiring technique is still the gold standard, but it has several limitations [15,26]. Its mechanical stabilizing potential is limited, it does not result in rotational or translational sagittal stability and additional external fixation is needed, which is a great disadvantage, particularly in rheumatoid arthritis (RA) and metastatic disease. Transarticular C2-1 screws with additional Gallie type wire fixation is biomechanically attractive, offering rotational and translational stability, but is technically demanding, with a risk of vertebral artery injury [8,29,40].Wiring is also a traditional method of subaxial spine fixation [33]. Techniques based on wires through the Abstract There are today several techniques available for cervical fixation -all with inherent limitations and risks. In view of the drawbacks of wiring and screw fixation, which both presuppose good bone quality for stabilization, there is a need for a stable and safe fixation system that can also be used in osteoporotic bone. The objective of the present retrospective study was to assess the usefulness and safety of Cervical Cotrel Dubousset Instrumentation (CCDI), based on sublaminar hooks. The material comprises 60 consecutive patients, 28 men and 32 women, with a mean age of 57.3 years (range 17-84 years), operated on with CCDI. The diagnosis was trauma in 17 patients, rheumatoid arthritis in 16 patients, tumor in 20 patients and miscellaneous diagnoses in 7 patients. The material was dominated by severe pathologies, with neurological impairment in 17 patients (28%). Complications, subjective outcome and Frankel classification of neurological status pre-and postoperatively was documented. The patient outcome evaluation was excellent in 46%, good in 34%, fair in 10%, and poor in 10%. The physician's assessment was similar: 56% excellent, 27% good, 10% fair and 7% poor. Two patients improved by two Frankel grades, 7 by one and 47 patients had the same Frankel grade as preoperatively. Two patients deteriorated by one Frankel grade, one by three grades and one patient by four Frankel grades. Except for a 10% deep wound infection rate, there were few complications, with no evidence of neurological injury from the hooks in the spinal canal. The results of this study show that the cervical CDI system can be safely used for stable cervical fixation without need for external support in severe pathologies of the cervical spine.

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Operative Management of Occipitocervical and Atlantoaxial Instability

Sonntag¹,

Dickman²

1993

Spinal Instability

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Treatment of Cervical Spine Injuries by a Posterior Osteosynthesis with Plates and Screws

Cited by 97 publications

References 0 publications

Factors affecting the interface of cervical spine facet screws placed in the technique by Roy-Camille et al.

Factors affecting the interface of cervical spine facet screws placed in the technique by Roy-Camille et al.

Cotrel Dubousset instrumentation in occipito-cervico-thoracic fusion

Operative Management of Occipitocervical and Atlantoaxial Instability

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