Thoracic Spine Injury Specialists Lake Charles LA

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Clark A Gunderson
(337) 439-0385
2615 Enterprise Blvd
Lake Charles, LA
Specialty
Orthopedic Surgery

Data Provided By:
Clark Alan Gunderson, MD
(337) 439-0385
2615 Enterprise Blvd
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1973

Data Provided By:
Dennis Martin Walker
(337) 494-4941
1717 Oak Park Blvd
Lake Charles, LA
Specialty
Orthopedic Surgery

Data Provided By:
John Wallace Noble Jr, MD
(337) 494-4900
1717 Oak Park Blvd Fl 3
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1990

Data Provided By:
Lynn Edward Foret, MD
(337) 562-1000
640 S Ryan St
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1975

Data Provided By:
Craig Hannie Crawford, DDS
(408) 470-1365
701 W College St
Lake Charles, LA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Douglas Perry, MD
(337) 494-4900
1717 Oak Park Blvd Fl 3
Lake Charles, LA
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1983

Data Provided By:
Gehron P Treme
(337) 721-7236
501 S Ryan St
Lake Charles, LA
Specialty
Orthopedic Surgery

Data Provided By:
Daniel R Yanicko Jr, MD
(337) 433-8400
501 S Ryan St
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1982
Hospital
Hospital: Lake Charles Mem Hosp, Lake Charles, La; Christus St Patrick Hosp, Lake Charles, La
Group Practice: Lake Charles Medical & Surgical Clinic

Data Provided By:
Nathan Phillip Cohen
(337) 494-4941
1717 Oak Park Blvd
Lake Charles, LA
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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