Thoracic Spine Injury Specialists Kapaa HI

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Michael R Bailey, DMD
(808) 245-1818
4370 Kukui Grove St Ste 212
Lihue, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Catherine Hekyung Shin
(808) 384-1822
3125 Akahi St
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
David Rovinsky
(808) 245-1523
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
David Rovinsky, MD
(808) 245-1524
3-3420 Kuhio Hwy Ste B
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1995
Hospital
Hospital: Wilcox Mem Hosp, Lihue, Hi; Queens Med Ctr, Honolulu, Hi; Shriners Hosp For Crippled Chi, Honolulu, Hi
Group Practice: Kauai Med Grp Inc

Data Provided By:
Richard Andre Gosselin
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Floyd Homer Pohlman
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Timothy Edmund Schendel, MD
(808) 245-1523
3-3420 Kuhio Hwy
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1995

Data Provided By:
Dr.Floyd Pohlman
(808) 245-1500
3-3420B Kuhio Hwy # B
Lihue, HI
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:
Gregory Paul Kassel, MD
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1995

Data Provided By:
Thomas Bird Grollman, MD
(808) 245-4824
PO Box 1607
Lihue, HI
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1965

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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