Thoracic Spine Injury Specialists Baldwinsville NY

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Mike H Sun, MD
(315) 464-4472
550 Harrison St
Syracuse, NY
Business
SUNY Medical Orthopaedic Surgery
Specialties
Orthopedics

Data Provided By:
Jay Prakash, DDS
(315) 622-4545
7924 Oswego Rd
Liverpool, NY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kenneth Dolatowski, DDS
(315) 487-1270
509 Emann Dr
Camillus, NY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Randall Hootnick, MD
(315) 452-2850
5100 W Taft Rd Ste 1F
Liverpool, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1971
Hospital
Hospital: St Josephs Hospital Health Cen, Syracuse, Ny; Crouse Hosp, Syracuse, Ny
Group Practice: Syracuse Orthopaedic Specialists; University Orthopedics & Sports Medicine

Data Provided By:
Joseph Sweet, DDS
(315) 458-1429
189 Genesee St
Liverpool, NY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Warren E Wulff, MD
(315) 251-3100
5719 Widewaters Pkwy
Syracuse, NY
Business
Syracuse Orthopaedic Specialists
Specialties
Orthopedics

Data Provided By:
Mark Paciorek, DDS
(315) 487-3335
5099 W Genesee St
Camillus, NY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Bindesh Anil Shah, MD
5054 Betsy Ross Way
Liverpool, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Krishna Inst Of Med Sci, Shivaji Univ, Karad, Maharashtra, India
Graduation Year: 1994

Data Provided By:
Jennifer Robyn Ratcliff, MD
(315) 464-5226
125 Braintree Dr
Liverpool, NY
Specialties
Orthopedics
Gender
Female
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 2001

Data Provided By:
William Raineri, DDS
(315) 457-4900
4900 W Taft Rd
Liverpool, NY
Specialties
Orthodontics/Dentofacial Orthopedics

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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