Thoracic Spine Injury Specialists Bear DE

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David T Sowa, MD
(302) 731-2888
4745 Ogletown Stanton Rd
Newark, DE
Business
First State Orthopaedics PA
Specialties
Orthopedics

Data Provided By:
David Kenan Solacoff, MD
(302) 832-6220
2600 Glasgow Ave Ste 104
Newark, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1993
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De
Group Practice: Casscells Orthopedics

Data Provided By:
Angelo Anthony Cairo, DDS
(302) 453-1400
220 Christiana Medical Ctr
Newark, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Victor Ray Kalman, DO
2600 Glasgow Ave
Newark, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Philadelphia Coll Of Osteo Med, Philadelphia Pa 19131
Graduation Year: 1986

Data Provided By:
Ali S Husain, DDS
(609) 838-1400
1400 Peoples Plz Ste 312
Newark, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jerry Lee Case
(302) 368-5500
430 Christiana Medical Ctr
Newark, DE
Specialty
Orthopedic Surgery

Data Provided By:
First State Orthopaedics
Newark, DE
Specialty
Orthopaedic Sugeon

Data Provided By:
Randeep Kahlon, MD
Newark, DE
Specialty
Orthopaedic Sugeon

Data Provided By:
Jerry L Case, MD
(302) 368-5500
430 Christiana Medical Ctr
Newark, DE
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1960
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De

Data Provided By:
Dr.David Solacoff
(302) 477-0900
2600 Glasgow Ave # 104
Newark, DE
Gender
M
Education
Medical School: Johns Hopkins Univ Sch Of Med
Year of Graduation: 1993
Speciality
Orthopedic Surgeon
General Information
Hospital: Christiana Care -Wilmington, Wilmington, De
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 2, reviews.

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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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