Thoracic Spine Injury Specialists Dodge City KS

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Alexander Baxter Neel, MD
(620) 225-7744
2300 N 14th Ave Ste 104
Dodge City, KS
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1982
Hospital
Hospital: Pratt Reg Med Ctr, Pratt, Ks; Western Plains Reg Hosp, Dodge City, Ks
Group Practice: Orthopedics & Sports Medicine

Data Provided By:
Richard J Ackerman, DDS
(620) 227-2234
705 1st Ave Ste B
Dodge City, KS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Donald Lewis Wilson, DDS
(785) 272-3722
2235 SW Westport Dr
Topeka, KS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Howard Glenn Rosenthal, MD
(913) 498-6840
5701 W 119th St Ste 308
Overland Park, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1985

Data Provided By:
Stephen William Munns, MD
(913) 588-6133
3901 Rainbow Blvd MS Ste 3017,
Kansas City, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1979

Data Provided By:
Alok Shah
(620) 227-1371
2020 Central Ave
Dodge City, KS
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Jansson
(316) 631-1600
2778 N Webb Rd
Wichita, KS
Business
Advanced Orthopaedics Associates
Specialties
Orthopedics, Sports Medicine, Arthroscopic Surgery
Insurance
Insurance Plans Accepted: Almost all insurance plans accepted.
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes

Doctor Information
Primary Hospital: Kansas Surgery and Recovery Center; Surgicare of Wichita
Residency Training: Wilford Hall USAF Medical Center, Lackland AFB, TX
Medical School: Darthmouth, 1982
Additional Information
Member Organizations: American College of Sports Medicine American Medical Association American Medical Society for Sports Medicine American Orthopaedic Society for Sports Medicine Arthroscopy Association of North America Fellow American Academy of Orthopaedic Surgeo


Data Provided By:
McPherson Scott Beall
(913) 642-0200
10777 Nall Ave
Overland Park, KS
Specialty
Orthopedic Surgery

Data Provided By:
David O King
(620) 431-0887
321 E Main St
Chanute, KS
Specialty
Orthopedic Surgery

Data Provided By:
Dr.David T. Gwyn
(316) 631-1600
2778 North Webb Road
Wichita, KS
Gender
M
Education
Medical School: Univ Of Ok Coll Of Med
Year of Graduation: 1998
Speciality
Orthopedic Surgeon
General Information
Hospital: Advanced Orthopaedic Associates
Online Appt Scheduling: Yes
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

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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