Thoracic Spine Injury Specialists Booneville MS

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Robert H Perry, DDS
(662) 287-6151
1017 Foote St
Corinth, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Eric Foropoulos, MD
(662) 286-6369
703 Alcorn Dr Doctors Office Plaza Ste 109
Corinth, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1989
Hospital
Hospital: Magnolia Regional Health Cente, Corinth, Ms
Group Practice: Magnolia Orthopaedic & Sports

Data Provided By:
Bruce S Senter, MD
(601) 982-7811
PO Box 9328
Jackson, MS
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
John Herrington Kosko
(601) 984-5153
2500 N State St
Jackson, MS
Specialty
Orthopedic Surgery

Data Provided By:
Samuel Jobe Wilder, MD
(601) 926-1075
Clinton, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1964

Data Provided By:
Randall Parks Frazier, MD
(662) 286-6369
703 Alcorn Dr Ste 109
Corinth, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1986
Hospital
Hospital: Magnolia Regional Health Cente, Corinth, Ms
Group Practice: Magnolia Orthopaedic & Sports

Data Provided By:
Robert P Lorentz, DDS
(662) 286-3891
1500 N Harper Road Ext Ste 5
Corinth, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Nels Wallace Thorderson, MD
(662) 840-5747
Tupelo, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1998

Data Provided By:
Charlton Henry Barnes
(228) 769-6000
4211 Hospital St Ste 103
Pascagoula, MS
Specialty
Orthopedic Surgery

Data Provided By:
Walter Rowen Shelton
(601) 354-4488
1325 E Fortification St
Jackson, MS
Specialty
Orthopedic Surgery

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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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