Thoracic Spine Injury Specialists Espanola NM

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

Data Provided By:
Dennis Ray Kloberdanz, MD
(505) 327-1400
4700 Samantha Ln
Farmington, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1983

Data Provided By:
Michael Louis Rothman, MD
(505) 988-9783
1691 Galisteo St Ste B
Santa Fe, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1967

Data Provided By:
Richard E White
(505) 724-4300
201 Cedar St Se
Albuquerque, NM
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

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

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:
Dr.Robert Schwartz
(575) 625-2669
350 W Country Club Rd # 103
Roswell, NM
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Eastern New Mexico Medical Center
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 2, reviews.

Data Provided By:
Michael E Mc Cutcheon, MD
(505) 242-5205
201 Cedar St SE Ste 6600
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1969
Hospital
Hospital: Albuquerque Reg Med Ctr, Albuquerque, Nm; Presbyterian Hospital, Albuquerque, Nm
Group Practice: New Mexico Orthopaedic Assoc New Mexico Spine

Data Provided By:
Edward C Haupt, MD
4301 San Pedro Dr NE Apt D8
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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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