- 期刊
Roy-Camille Plating System in Treating Burst Fractures of Thoracolumbar Spine
並列摘要
Burst fracture of thoracolumbar junction is an unstable spinal fracture, which is caused by high energy trauma. There are many methods of treatment in dealing with spinal burst fractures, including surgical and nonsurgical methods. Roy-Camille plating system is the oldest instrumentation for treating unstable spinal fracture with transpedicular screw system. From June, 1987 through May, 1990, we encountered 17 patients with 19 acute burst fractures of spine, 8 were males and 9 were females, at an average age of 29.6 years old. Two frac-tures occurred on T12, 4 on L1, 4 on L2, 5 on L3, 2 on L4 and 2 on L5. According to Denis classification, there were 2 type A fractures (10.5%), 13 type B (68.5%), 4 type D (21%), and no type C or E. All of these patients received open reduction, posterior short segmental fixation with Roy-Camille plate and posterior fusion. After follow-up for an average of 101.5 months, al fractures were found to unite without residual back pain except two patients; one was back soreness, and the other was occasional back pain, which did not need any medication. The immediate postoperative Cobb’s angle improved at an average of 12.9 degrees, and average of 5.3 degrees at final follow-up. All patients were neurologic intact at final follow-up except 3 patients, whom were all Frankel D. Five patients had had complication during follow-up, 4 of them were breakage of transpedicular screws, and the other one was screw pullout. In our retrospect-tive results, the outcome of burst fracture of spine treated with Roy-Camille plating system were satisfactory.