Thoracic Spine Injury Specialists Dothan AL

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James P De Haven, MD
(334) 793-2663
PO Box 729
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1982
Hospital
Hospital: Medical Ctr Enterprise, Enterprise, Al
Group Practice: Southern Bone & Joint

Data Provided By:
Henry H Barnard II, MD
(334) 793-2663
PO Box 729
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Al Coll Of Med, Mobile Al 36688
Graduation Year: 1984

Data Provided By:
Robert Wallace Moore Jr, MD
(334) 793-2663
PO Box 729
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1968
Hospital
Hospital: Flowers Hosp, Dothan, Al
Group Practice: Southern Bone & Joint Specialists Pc

Data Provided By:
James Caney Owen Jr, MD
(334) 794-2791
32 Foxchase Dr
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1964

Data Provided By:
Charles Robert Hand, MD
4300 W Main St
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1965

Data Provided By:
William Brown Hanson, MD
(334) 793-2663
PO Box 729
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1960
Hospital
Hospital: Southeast Alabama Med Ctr, Dothan, Al
Group Practice: Southern Bone & Joint

Data Provided By:
Christopher E Robinson, MD
(334) 793-2663
PO Box 729
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1986

Data Provided By:
Daryl Keith Granger, MD
(334) 793-2663
PO Box 729
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1983

Data Provided By:
James Bret Simpson, MD
(334) 793-2663
PO Box 729
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1979

Data Provided By:
Fleming G Brooks Jr, MD
(334) 308-9797
4300 W Main St
Dothan, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1993

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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