Thoracic Spine Injury Specialists Great Falls MT

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Aimee V Hachigian Gould, MD
(406) 771-7051
1220 Central Ave Ste 2E
Great Falls, MT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1979
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt

Data Provided By:
Michael Edward Luckett, MD
(406) 455-3650
500 15th Ave S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1982
Hospital
Hospital: Benefis Hosp West, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

Data Provided By:
John Howard Avery, MD
(406) 761-2399
401 15th Ave S Ste 110
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1968

Data Provided By:
Patrick James Thomas, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143
Graduation Year: 1990

Data Provided By:
Michael John Hennessy, MD
(406) 454-2171
1400 29th St S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1970
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt; Benefis Hosp West, Great Falls, Mt
Group Practice: Great Falls Clinic Main Clinic

Data Provided By:
W L Gorsuch, MD
(406) 761-1410
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1980

Data Provided By:
John W Bloemendaal, MD FACS
(406) 761-1410
500 15th Ave S
Great Falls, MT
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1955

Data Provided By:
Charles David Jennings, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1966

Data Provided By:
Gregory Scot Tierney, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1988
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

Data Provided By:
Matthew D Hammit, MD
1300 28th Street South South
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx A & M Univ Coll Of Med, College Station Tx 77843
Graduation Year: 1998

Data Provided By:
Data Provided By:

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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