Thoracic Spine Injury Specialists Kapolei HI

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Wiley Brunel
(808) 678-2211
91-2139 Fort Weaver Rd Ste 208
Ewa Beach, HI
Specialty
General Surgery, Hand Surgery

Data Provided By:
Steven T Tottori, DDS
(808) 955-1226
525 Farrington Hwy Ste 104
Kapolei, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Kenneth Cole, MD
(808) 206-8231
101B Beard Ave
Honolulu, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: E Tn State Univ J H Quillen Coll Of Med, Johnson City Tn 37614
Graduation Year: 1994
Hospital
Hospital: Freeman Hosp -West, Joplin, Mo; St Johns Reg Medctr, Joplin, Mo
Group Practice: Midwest Orthopaedic Surgery

Data Provided By:
Byron Hideo Izuka
(808) 485-8985
98-1079 Moanalua Rd
Aiea, HI
Specialty
Orthopedic Surgery

Data Provided By:
Randal D Morita, DDS
(808) 486-5505
98-1247 Kaahumanu St Ste 325
Aiea, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Neil Thos Katz, MD
(808) 689-9055
91-896 Makule Rd Ste 103
Ewa Beach, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1981

Data Provided By:
Howard Teruo Fujino, DDS
(808) 677-9741
94-873 Farrington Hwy
Waipahu, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mark K Kitamura, DDS
(808) 456-5537
850 Kamehameha Hwy Ste 215
Pearl City, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Carlton A Shiraki, DDS
(808) 625-5000
95-1249 Meheula Pkwy Ste B11
Mililani, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Terry Alan Vernoy, MD
(808) 533-3393
98-1079 Moanalua Rd
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1978

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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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