Thoracic Spine Injury Specialists Branson MO

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John W Huffman, DO
(850) 651-5034
511 Bee Creek Rd
Branson, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1985

Data Provided By:
Darin L Talley, MD
(417) 334-8877
511 Bee Creek Rd
Branson, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1996

Data Provided By:
Lawrence V Page
(417) 348-8100
121 Cahill Rd
Branson, MO
Specialty
Orthopedic Surgery

Data Provided By:
J Marcus Heim, DO
(573) 348-4432
590 Birch Rd
Hollister, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ok State Univ, Coll Of Osteo Med, Tulsa, Ok 74107
Graduation Year: 1982
Hospital
Hospital: Breech Med Ctr, Lebanon, Mo
Group Practice: Lake Orthopedic Group

Data Provided By:
Gerald Francis Dugan, MD
(816) 444-4664
6675 Holmes Rd Ste 360
Kansas City, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1982

Data Provided By:
Robert Patrick O'Brien
(417) 334-8877
511 Bee Creek Rd
Branson, MO
Specialty
Orthopedic Surgery

Data Provided By:
Darin L Talley
(417) 334-8877
511 Bee Creek Rd
Branson, MO
Specialty
Orthopedic Surgery

Data Provided By:
Robert Patrick O'Brien, MD
(417) 334-8877
511 Bee Creek Rd
Branson, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1975

Data Provided By:
Robert A Shively, MD
(314) 652-4100
915 N Grand Ave
Saint Louis, MO
Business
Washington University Orthopedics
Specialties
Orthopedics

Data Provided By:
Michael Blaine Grillot, MD
(417) 882-1900
3045 S National Ave
Springfield, MO
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1988

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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