Thoracic Spine Injury Specialists Godfrey IL

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Randall J Rogalsky
(618) 463-8555
1 Professional Dr
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
William C Heintz, DDS
(618) 465-7423
2716 Corner Ct
Alton, IL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Allen Gay Adams, MD
(314) 646-7044
4411 Alby St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1980

Data Provided By:
Kyle Shepperson
(618) 474-8052
4411 Alby St
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
Abron A Grandia, MD
(618) 462-1201
PO Box 1091
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
James E Segrist
(618) 462-1722
533 E 3rd St
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
Bruce T Vest
(618) 474-8052
4411 Alby St
Alton, IL
Specialty
Orthopedic Surgery

Data Provided By:
Bruce Thomas Vest, MD
(618) 474-8052
4411 Alby St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1985

Data Provided By:
James Edward Segrist, MD
(618) 462-1722
533 E 3rd St
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1977

Data Provided By:
Jonathan Peter Crites, MD
(417) 820-5694
PO Box 1091
Alton, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1996

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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