Thoracic Spine Injury Specialists Lincoln NE

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Douglas Alan Koch, MD
(402) 436-2069
6900 A St
Lincoln, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1999

Data Provided By:
Dr.Daniel Noble
(402) 436-2000
6900 A St # 100
Lincoln, NE
Gender
M
Education
Medical School: Baylor Coll Of Med
Year of Graduation: 1982
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.9, out of 5 based on 5, reviews.

Data Provided By:
David Lane Samani, MD
1101 S 70th St Ste 101
Lincoln, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1983

Data Provided By:
Dr.Daniel Ripa
(402) 488-3322
575 S 70th St # 200
Lincoln, NE
Gender
M
Education
Medical School: Univ Of Ne Coll Of Med
Year of Graduation: 1983
Speciality
Orthopedic Surgeon
General Information
Hospital: Bryan Mem Hosp, Lincoln, Ne
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 3, reviews.

Data Provided By:
Ronald Opper Schwab
(402) 488-3322
575 S 70th
Lincoln, NE
Specialty
Orthopedic Surgery

Data Provided By:
Scott Edwin Strasburger, MD
(402) 488-3322
575 S 70th St Ste 200
Lincoln, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1990

Data Provided By:
Robert A VanDe Guchte
(402) 436-2000
6900 A St
Lincoln, NE
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
David John Clare, MD
(402) 488-3322
575 S 70th St Ste 200
Lincoln, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1994

Data Provided By:
Geoffrey M McCullen
(402) 488-3002
575 S 70th St
Lincoln, NE
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Patrick Eugene Clare, MD
(402) 488-5718
575 S 70th St Ste 200
Lincoln, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1966
Hospital
Hospital: Bryan Mem Hosp, Lincoln, Ne; St Elizabeth Comm Hlth Center, Lincoln, Ne
Group Practice: Nebraska Orthopaedic Assoc

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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