Thoracic Spine Injury Specialists Kaysville UT

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Justin T Brown, DDS
(801) 447-2001
670 Shepard Ln # 105
Kaysville, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Clark B Rampton, DDS
(801) 546-0892
95 S Main St
Kaysville, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Norman Calvin Bos II, MD
(801) 773-4840
2121 Robins Dr
Layton, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1976

Data Provided By:
Charles P Bean
(801) 773-4840
2121 No 1700 W
Layton, UT
Specialty
Orthopedic Surgery

Data Provided By:
Bohus Svagr
(801) 773-4840
2121 N 1700 W
Layton, UT
Specialty
Orthopedic Surgery

Data Provided By:
Bohus Svagr, MD
380 N 400 W
Kaysville, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Charles Univ V Praze, Fac Gen Med, Praha, Czechoslovakia
Graduation Year: 1993

Data Provided By:
Brent Thomas Watson, MD
Layton, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1990

Data Provided By:
York J Yates
(801) 773-4840
2121 N 1700 W
Layton, UT
Specialty
Plastic Surgery / Reconstructive Surgery, Hand Surgery

Data Provided By:
Charles Parrish Bean, MD
(801) 773-4840
2121 Robins Dr
Layton, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1975
Hospital
Hospital: Davis Hosp & Med Ctr, Layton, Ut
Group Practice: Tanner Memorial Clinic

Data Provided By:
David Allen Cook, MD
(801) 773-4840
2121 Robins Dr
Layton, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1987

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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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