The authors critically review 135 cases of traumatic injuries of the spine with cord damage (75 cervical, 60 thoracolumbar) treated by posterior osteosynthesis using the Roy-Camille technique at the authors' institution from 1978 to 1989. The follow-up ranged from 6 months to 12 years. In addition to fracture and/or dislocation, most patients had severe spinal cord injury resulting in either complete or incomplete paraplegia or quadriplegia. The authors describe the surgical indications, the advantages, and the long-term results of this technique.
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