Thoracic Spine Injury Specialists Bristol CT

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Chang Song Choi, MD
(860) 589-6919
PO Box 1239
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Seoul Natl Univ, Coll Of Med, Chongno-Ku, Seoul, So Korea
Graduation Year: 1958

Data Provided By:
Vipul Dua, MD
(860) 583-1107
25 Newell Rd Ste E31
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Maulana Azad Med Coll, Univ Of Delhi, New Delhi, Delhi, India
Graduation Year: 1984

Data Provided By:
Armann O Ciccarelli
(860) 583-1845
291 Queen St
Bristol, CT
Specialty
General Surgery, Hand Surgery

Data Provided By:
Michael Edward Cucka, MD
(860) 582-6603
641 Clark Ave
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1988

Data Provided By:
Scott William Organ, MD
(860) 582-6603
641 Clark Ave
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1989

Data Provided By:
Chang Song Choi
(860) 589-6919
46 Goodwin Street
Bristol, CT
Specialty
Orthopedic Surgery

Data Provided By:
Michael Thomas Legeyt, MD
(860) 583-6500
255 N Main St
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ct Sch Of Med, Farmington Ct 06032
Graduation Year: 1992

Data Provided By:
Michael Thomas Legeyt
(860) 583-6500
255 N Main St
Bristol, CT
Specialty
Hand Surgery

Data Provided By:
Carl David Bomar, MD
(860) 584-1113
232 Maxine Rd
Bristol, CT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1974

Data Provided By:
Timothy P Mc Laughlin, MD
(860) 589-3766
25 Newell Rd Ste C14
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1980

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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