Thoracic Spine Injury Specialists Espanola NM

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Matthew W McKinley
(505) 753-7111
1010 Spruce St
Espanola, NM
Specialty
Orthopedic Surgery

Data Provided By:
Marion L Messersmith, DDS
(505) 662-4934
3250 Trinity Dr Ste A
Los Alamos, NM
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Matthew W McKinley
(505) 753-7111
1010 Spruce St
Espanola, NM
Specialty
Orthopedic Surgery

Data Provided By:
J Peter Frechette, MD
(505) 726-1497
1500 Linda Dr
Gallup, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1967

Data Provided By:
Steven H Feagler, MD
(505) 291-9089
900 Maverick Trl SE
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Arnold Barry Wise, MD
(505) 747-4144
1010 Spruce St
Espanola, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1970

Data Provided By:
Anthony F Pachelli, MD
(505) 724-4300
201 Cedar St SE
Albuquerque, NM
Business
New Mexico Orthopaedic Associates
Specialties
Orthopedics

Data Provided By:
George Richard Swajian, DO
(505) 727-7755
101 Hospital Loop NE Ste 113
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Philadelphia Coll Of Osteo Med, Philadelphia Pa 19131
Graduation Year: 1964

Data Provided By:
Bryan Scott Kamps, MD
(505) 863-7200
1900 Redrock Dr
Gallup, NM
Specialties
Orthopedics
Gender
Male
Languages
English, Spanish, Other, Navaho
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1988
Hospital
Hospital: Rehoboth Mc Kinley Christian H, Gallup, Nm
Group Practice: Rehoboth Mc Kinley Clinic

Data Provided By:
James J Castle, DO
(505) 624-0100
607 W Country Club Rd
Roswell, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1982

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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