Thoracic Spine Injury Specialists Hastings NE

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John Gantt Yost, MD
(402) 462-2139
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1978

Data Provided By:
Gary L Chingren, MD
(402) 462-2139
606 N Minnesota Ave
Hastings, NE
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1975
Hospital
Hospital: Mary Lanning Memorial Hospital, Hastings, Ne
Group Practice: Hastings Orthopaedic Assoc

Data Provided By:
John K Pershing, DDS
(402) 462-4173
624 N Minnesota Ave
Hastings, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Charles James Nowacek, MD
(402) 462-2139
606 N Minnesota Ave
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1964
Hospital
Hospital: Mary Lanning Memorial Hospital, Hastings, Ne
Group Practice: Hastings Orthopaedic Assoc

Data Provided By:
Dennis P McGowan, MD
(308) 237-0889
1215 First Ave
Kearney, NE
Business
Dennis P McGowan MD
Specialties
Orthopedics

Data Provided By:
Barry Allan Bohlen, MD
(402) 462-2139
606 N Minnesota Ave
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1997

Data Provided By:
Eugene W Peck, MD
(402) 462-2139
309 N Shore Dr
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Scott L Franssen
(402) 462-4241
223 E 14th St
Hastings, NE
Specialty
Orthopedic Surgery

Data Provided By:
Stephen Michael Hansen, MD
223 E 4th St
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1999

Data Provided By:
Jon Robert Shereck
(402) 294-6606
2501 Capehart Rd
Offutt A F B, NE
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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