Thoracic Spine Injury Specialists Brookings SD

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John David Ramsay, MD
(605) 692-6236
400 22nd Ave
Brookings, SD
Specialties
Orthopedics, Aerospace Medicine
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1974
Hospital
Hospital: Brookings Hosp, Brookings, Sd
Group Practice: Brookings Medical Clinic

Data Provided By:
John D Ramsay
(605) 697-9500
400 22nd Ave.
Brookings, SD
Specialty
Orthopedic Surgery

Data Provided By:
David L Hoversten
(605) 332-1052
1320 S Minnesota Ave
Sioux Falls, SD
Specialty
Orthopedic Surgery

Data Provided By:
Marcia Nelsen, MD
(605) 996-5903
2200 N Kimball St Ste 1050
Mitchell, SD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1982
Hospital
Hospital: Sacred Heart Health Services, Yankton, Sd; Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Praireland Orthopaedics

Data Provided By:
Chester Wilson P Mayo, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1986
Hospital
Hospital: Huron Reg Med Ctr, Huron, Sd; St Lukes Midland Reg Med Ctr, Aberdeen, Sd
Group Practice: Orthopedic Surgery Specialists

Data Provided By:
David L Meyer, DDS
(605) 692-7511
105 22nd Ave
Brookings, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Rand L Schleusener
(605) 341-1414
7220 S Highway 16
Rapid City, SD
Specialty
Orthopedic Surgery

Data Provided By:
Daniel G MacRandall
(605) 333-0400
1727 S Cleveland Ave
Sioux Falls, SD
Specialty
Orthopedic Surgery

Data Provided By:
David W Boyer
(605) 341-1414
7220 S Highway 16
Rapid City, SD
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Jeffrey Marrs
(605) 341-1414
7220 S Highway 16
Rapid City, SD
Gender
M
Education
Medical School: Mayo Med Sch
Year of Graduation: 1997
Speciality
Orthopedic Surgeon
General Information
Hospital: Rapid City Regional Hospital, Rapid City, Sd
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 1, 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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