Thoracic Spine Injury Specialists Cedar Rapids IA

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Jeffrey Michael Nassif, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1992

Data Provided By:
Hugh Mac Menamin, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Coll Dublin, Nat'L Univ Of Ireland, Fac Of Med, Dublin
Graduation Year: 1969

Data Provided By:
Warren Neil Verdeck
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
Specialty
Orthopedic Surgery

Data Provided By:
Cassandra Suzanne Lange
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
Specialty
Orthopedic Surgery

Data Provided By:
Hugh Phillip MacMenamin
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
Specialty
Orthopedic Surgery

Data Provided By:
Fred John Pilcher, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1973
Hospital
Hospital: Mercy Med Ctr, Cedar Rapids, Ia
Group Practice: Physicians Clinic Of Iowa

Data Provided By:
Daniel Charles Fabiano, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1989

Data Provided By:
David Hart, MD
Cedar Rapids, IA
Specialty
Orthopaedic Sugeon

Data Provided By:
David Patrick Hart, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1983

Data Provided By:
Jeffrey Michael Nassif
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
Specialty
Adult Reconstructive Orthopaedic Surgery

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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