Thoracic Spine Injury Specialists Bainbridge Island WA

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Bradley Jay Watters, MD
(360) 782-3300
2600 Cherry Ave Ste 203
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1985

Data Provided By:
Larry Dean Iversen, MD
(206) 479-2003
2600 Wheaton Way
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1970
Hospital
Hospital: Harrison Memorial Hospital, Bremerton, Wa
Group Practice: Larry D Iversen Ltd

Data Provided By:
Christopher Colin Rankin, MD
(360) 782-3300
2600 Cherry Ave
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1995

Data Provided By:
Gordon N Cromwell
(360) 479-2360
2600 Cherry Avenue
Bremerton, WA
Specialty
Orthopedic Surgery

Data Provided By:
James R Mayfield, DDS
(360) 479-2323
1425 NE Franklin Ave
Bremerton, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Lynn Le Roy Staker, MD
900 Sheridan Rd Ste 105
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1965

Data Provided By:
Christopher C Kain, MD
(360) 479-2544
2500 Cherry Ave Ste 304
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1981
Hospital
Hospital: Harrison Memorial Hospital, Bremerton, Wa
Group Practice: Olympic Orthopedic & Fracture

Data Provided By:
Gordon N Cromwell Jr, MD
(360) 479-2360
2600 Cherry Ave Ste 202
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1970
Hospital
Hospital: Harrison Memorial Hospital, Bremerton, Wa
Group Practice: Peninsula Orthopedic Assoc

Data Provided By:
Jennifer Lynn Ashmore, DMD
(360) 479-2323
1425 NE Franklin Ave
Bremerton, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kenneth Ray Koskella, MD
(360) 479-2003
2600 Wheaton Way Ste 311
Bremerton, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1973

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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