Thoracic Spine Injury Specialists Ashburn VA

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Harold Allen
(571) 223-0410
20098 Ashbrook Pl
Ashburn, VA
Specialty
Orthopedic Surgery

Data Provided By:
Randolph Bryant Cook
(703) 444-5447
21785 Filigree Ct
Ashburn, VA
Specialty
Orthopedic Surgery

Data Provided By:
Randall S Peyton
(703) 444-5000
21475 Ridgetop Cir
Sterling, VA
Specialty
Orthopedic Surgery

Data Provided By:
Derek Hidehiko Ochiai, MD
(703) 525-2200
21400 Ridgetop Cir
Sterling, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1997

Data Provided By:
Lynnford S Wilson
(703) 444-5000
21475 Ridgetop Cir
Sterling, VA
Specialty
Orthopedic Surgery

Data Provided By:
Ali Moshirfar
(703) 444-5447
21785 Filigree Ct
Ashburn, VA
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Thomas Wesley Daczkowski, DDS
(703) 723-8838
20925 Professional Plz Ste 210
Ashburn, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Lynnford Saml Wilson, MD
(703) 444-5000
21475 Ridgetop Cir Ste 150
Sterling, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1974

Data Provided By:
Randall Sutton Peyton, MD
(703) 444-5000
21475 Ridgetop Cir Ste 150
Sterling, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1989

Data Provided By:
Lynnford Saml Wilson Jr, MD
(574) 271-5151
21475 Ridgetop Cir Ste 150
Sterling, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1974

Data Provided By:
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Surgical Treatment of Unstable Thoracic Spine Injuries

Severe injuries to the thoracic spine occur with some car accidents. These high-energy injuries cause significant trauma to the spine. Surgery is needed to restore the vertebrae to a stable position. A major goal of treatment is to foster as much neurologic recovery as possible. In some cases, preventing paralysis may not be possible.

It's not clear yet what kind of stabilization procedure is best for these traumatic spinal injuries. Rods placed alongside the spine have been used with disappointing results. Plates and screws along the posterior (back of the) vertebra give better correction.

In this study, screws were placed through the pedicles of the vertebrae. The pedicle is the area of the vertebra that is between the upper and lower spinal (facet) joints. Sometimes it is called the pars articularis.

The pedicle is stiffer than the vertebral body. It provides a place where the screws are less likely to pull out of the bone. Stainless steel screws were used because of their ability to resist fatigue failure while the bone graft healed. A large diameter screw 50 to 80 per cent the length of the vertebral body was selected.

Screws were placed in every pedicle on both sides of the vertebrae. The screws spanned from two to three segments above the area of injury to several segments below the lowest area of instability.

Using pedicle screws as anchors made it possible for the surgeon to distract, rotate, and place the broken and displaced vertebrae in proper alignment. Once the screws were in place, a rod to span the entire length of the surgical site helped unlock the overlapping facets.

The spinal deformity was reduced and maintained in 15 of the 18 patients treated with posterior-only pedicle screws. There were very few complications after the operation. This approach avoids doing an additional anterior or combined anterior/posterior fusion of the spine. Local bone graft is used to obtain a posterior-lateral fusion only.

Studies of th...

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