Thoracic Spine Injury Specialists Front Royal VA

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Daniel L Zimet
(540) 631-9214
842 N Shenandoah Ave
Front Royal, VA
Specialty
Orthopedic Surgery

Data Provided By:
James Edward Favareau
(540) 636-6177
318 N Royal Ave
Front Royal, VA
Specialty
Orthopedic Surgery

Data Provided By:
Damon W Dearment, DDS
(540) 667-9662
1010 Amherst St
Winchester, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Thomas Wilson Daugherty, MD
(540) 662-0377
20 S Stewart St
Winchester, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1970

Data Provided By:
Stephen H Martenson, MD
(540) 662-0377
128 Medical Cir
Winchester, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1978

Data Provided By:
James E Favareau, MD
(540) 636-6177
318 N Royal Ave
Front Royal, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1975

Data Provided By:
Daniel Leonard Zimet, MD
(610) 384-4755
842 N Shenandoah Ave
Front Royal, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1978

Data Provided By:
Amit Kumar Soam, MR
123456789
India
Noida, NY
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Graduation Year: 2000

Data Provided By:
John H Zoller III, MD
(540) 662-0377
20 S Stewart St # 2698
Winchester, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1981

Data Provided By:
Thomas Watkins Wise
(540) 667-8975
128 Medical Cir
Winchester, VA
Specialty
Orthopedic 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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