Thoracic Spine Injury Specialists Bangor ME

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Philip Ridlon Kimball, MD
(207) 947-0768
78 Ridgewood Dr
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1963

Data Provided By:
Eric I Mitchell
(207) 941-8300
34 Gilman Road
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
John Additon Bradford, MD
(207) 945-9461
151 Broadway
Bangor, ME
Specialties
Orthopedics
Gender
Male
Languages
French, Spanish
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1978
Hospital
Hospital: Eastern Maine Med Ctr, Bangor, Me; St Joseph Hospital, Bangor, Me

Data Provided By:
Gordon Stewart Campbell
(207) 945-6695
417 State St
Bangor, ME
Specialty
Hand Surgery

Data Provided By:
Gordon Stewart Campbell, MD
(207) 945-6695
417 State St Ste 209/210
Bangor, ME
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of British Columbia, Fac Of Med, Vancouver, Bc, Canada
Graduation Year: 1983

Data Provided By:
Howard Gary Parker, MD
(207) 990-4625
358 Broadway Ste 100
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dalhousie Univ, Fac Of Med, Halifax, Ns, Canada
Graduation Year: 1967
Hospital
Hospital: Eastern Maine Med Ctr, Bangor, Me; St Joseph Hospital, Bangor, Me

Data Provided By:
David Barnes Carmack, MD
(207) 973-4949
417 State St Ste 430
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1992
Hospital
Hospital: Sacred Heart Hospital, Cumberland, Md
Group Practice: Shock Trauma Assoc Pa; Shock Trauma Associates Pa

Data Provided By:
James R Curtis
(207) 973-7000
489 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
Robert Williamson Gause, MD
(207) 945-3496
404 State St Ste 500
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1968

Data Provided By:
Paul Gregor Askins
(207) 947-8381
404 State St
Bangor, ME
Specialty
Orthopedic Surgery

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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