37-212
Osteosíntesis cervical posterior con placa en lesiones cervicales
Posterior internal fixation with plate of cervical spine lesions
M. SÁNCHEZ MARTÍN CÁTEDRA DE TRAUMATOLOGÍA Y ORTOPEDIA. DEPARTAMENTO DE CIRUGÍA. FACULTAD DE MEDICINA DE VALLADOLID. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL UNIVERSITARIO DE VALLADOLID.
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008
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Resumen (ES)
The purpose of the present study is to retrospectively
assess the long-term clinical outcome of patients with
unstable lesions of the lower cervical spine treated by internal
fixation with Roy-Camille plates and screws on the lateral
masses. Patients and methods: Fifteen patients (14 traumatic
and 1 non traumatic) with instability who had internal fixation
by plates and screws of Roy-Camille were studied. Except for
1 patient who had flexion fracture of the vertebral body, the
remainder suffered lesions of the vertebral arc (uni-or bilateral
dislocation, fracture-dislocation, separation-fracture of
the lateral mass and major ligament sprains). The technique
must be accurate to avoid vascular and nervous complications.
Results: There was a strong association between clinical
outcome and the final radiographic grade, according to
Roy-Camille grading scale. The dynamic assessment of the
lateral cervical radiographs showed an excellent result in all
the lesions of the vertebral arc (13 patients studied). One case
of vertebral body fracture had a bad result with flexion deformity,
pain and need for material removal. Conclusions: The
findings of the present clinical study suggest that the posterior
cervical stabilization for unstable arc lesions, whether
traumatic or not, is a excellent solution, specially when upper
and lower lesions are associated.
assess the long-term clinical outcome of patients with
unstable lesions of the lower cervical spine treated by internal
fixation with Roy-Camille plates and screws on the lateral
masses. Patients and methods: Fifteen patients (14 traumatic
and 1 non traumatic) with instability who had internal fixation
by plates and screws of Roy-Camille were studied. Except for
1 patient who had flexion fracture of the vertebral body, the
remainder suffered lesions of the vertebral arc (uni-or bilateral
dislocation, fracture-dislocation, separation-fracture of
the lateral mass and major ligament sprains). The technique
must be accurate to avoid vascular and nervous complications.
Results: There was a strong association between clinical
outcome and the final radiographic grade, according to
Roy-Camille grading scale. The dynamic assessment of the
lateral cervical radiographs showed an excellent result in all
the lesions of the vertebral arc (13 patients studied). One case
of vertebral body fracture had a bad result with flexion deformity,
pain and need for material removal. Conclusions: The
findings of the present clinical study suggest that the posterior
cervical stabilization for unstable arc lesions, whether
traumatic or not, is a excellent solution, specially when upper
and lower lesions are associated.
Palabras clave (ES):
Tratamiento
quirúrgico
Operatorio
Placa
Osteosíntesis
Fijación
Traumatismo
Fractura
Cervical
Columna
Raquis
Resumen (EN)
The purpose of the present study is to retrospectively
assess the long-term clinical outcome of patients with
unstable lesions of the lower cervical spine treated by internal
fixation with Roy-Camille plates and screws on the lateral
masses. Patients and methods: Fifteen patients (14 traumatic
and 1 non traumatic) with instability who had internal fixation
by plates and screws of Roy-Camille were studied. Except for
1 patient who had flexion fracture of the vertebral body, the
remainder suffered lesions of the vertebral arc (uni-or bilateral
dislocation, fracture-dislocation, separation-fracture of
the lateral mass and major ligament sprains). The technique
must be accurate to avoid vascular and nervous complications.
Results: There was a strong association between clinical
outcome and the final radiographic grade, according to
Roy-Camille grading scale. The dynamic assessment of the
lateral cervical radiographs showed an excellent result in all
the lesions of the vertebral arc (13 patients studied). One case
of vertebral body fracture had a bad result with flexion deformity,
pain and need for material removal. Conclusions: The
findings of the present clinical study suggest that the posterior
cervical stabilization for unstable arc lesions, whether
traumatic or not, is a excellent solution, specially when upper
and lower lesions are associated.
assess the long-term clinical outcome of patients with
unstable lesions of the lower cervical spine treated by internal
fixation with Roy-Camille plates and screws on the lateral
masses. Patients and methods: Fifteen patients (14 traumatic
and 1 non traumatic) with instability who had internal fixation
by plates and screws of Roy-Camille were studied. Except for
1 patient who had flexion fracture of the vertebral body, the
remainder suffered lesions of the vertebral arc (uni-or bilateral
dislocation, fracture-dislocation, separation-fracture of
the lateral mass and major ligament sprains). The technique
must be accurate to avoid vascular and nervous complications.
Results: There was a strong association between clinical
outcome and the final radiographic grade, according to
Roy-Camille grading scale. The dynamic assessment of the
lateral cervical radiographs showed an excellent result in all
the lesions of the vertebral arc (13 patients studied). One case
of vertebral body fracture had a bad result with flexion deformity,
pain and need for material removal. Conclusions: The
findings of the present clinical study suggest that the posterior
cervical stabilization for unstable arc lesions, whether
traumatic or not, is a excellent solution, specially when upper
and lower lesions are associated.
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