Thoracic Spine Injury Specialists Hickory NC

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David C Hamilton, DDS
(828) 328-1088
322 10th Avenue Dr Ne
Hickory, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jeremy Clyde Johnson, MD
(704) 355-3184
PO Box 20500
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1998

Data Provided By:
Jeffrey Andrew Knapp, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Eastern Va Med Sch Of The Med Coll Of Hampton Roads, Norfolk Va 23501
Graduation Year: 1988

Data Provided By:
E Louis Peak, MD
(866) 324-2850
2165 Medical Park Dr
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1997

Data Provided By:
John Leslie De Perczel, MD
(828) 294-9164
2165 Medical Park Dr
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1972
Hospital
Hospital: Catawba Mem Hosp, Hickory, Nc; Frye Reg Med Ctr, Hickory, Nc
Group Practice: Carolina Orthopaedic Specialists; Carolina Orthopaedic Specialists Newton

Data Provided By:
Richard Marion Garlitz, DDS
(828) 322-1535
382 10Th Avenue Dr Ne
Hickory, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Edwin Louis Peak
(828) 345-6468
36 14th Ave Ne
Hickory, NC
Specialty
Orthopedic Surgery

Data Provided By:
Alfred Earl Geissele, MD
(828) 324-2800
2165 Medical Park Dr
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1984

Data Provided By:
Dr.JEREMY JOHNSON
(828) 322-5172
214 18th Street Southeast
Hickory, NC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Stephen Joseph Sladicka, MD
(828) 635-8430
2165 Medical Park Dr
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1989

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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