Thoracic Spine Injury Specialists Los Lunas NM

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William B Pratt, MD
(505) 869-4212
Bosque Farms, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Frank Hamilton Peacock, DDS
(505) 452-8633
2127 Los Padillas Rd Sw
Albuquerque, NM
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Anthony F Pachelli, MD
(505) 724-4300
201 Cedar St SE
Albuquerque, NM
Business
New Mexico Orthopaedic Associates
Specialties
Orthopedics

Data Provided By:
Richard Miller
(505) 272-1623
2nd Ambulatory Care Ctr
Albuquerque, NM
Specialty
Foot & Ankle Surgery

Data Provided By:
Dr.Ruth OKeefe
(505) 332-0297
12209 Eastridge Drive Northeast
Albuquerque, NM
Gender
F
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci
Year of Graduation: 1975
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
John Charles France, MD
(304) 535-6343
3436 Isleta Blvd SW
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1986

Data Provided By:
Paul Lesko, MD
Albuquerque, NM
Specialty
Orthopaedic Sugeon

Data Provided By:
Steven Duane Young, MD
(618) 351-9304
ACC 2 West,
Albuquerque, NM
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Southern Il Univ Sch Of Med, Springfield Il 62794
Graduation Year: 1995

Data Provided By:
Marshall G Baca, MD
(505) 885-2188
2410 W Pierce St
Carlsbad, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1990

Data Provided By:
Miguel Angel Pirela, MD
(915) 545-6750
Las Cruces, NM
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1980

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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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