Thoracic Spine Injury Specialists Mebane NC

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Edward Lloyd Hines, MD
(336) 584-5544
PO Box 209
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1970

Data Provided By:
Philip Edward Higgs, MD
(919) 932-9980
6520 Union Grove Church Rd
Hillsborough, NC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1974

Data Provided By:
Madeline Serrano, DDS
(919) 493-4911
2919 Colony Rd
Hillsborough, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Christopher Califf, MD
(336) 538-2370
1234 Huffman Mill Rd
Burlington, NC
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1981
Hospital
Hospital: Alamance Reg Med Ctr, Burlington, Nc
Group Practice: Kernodle Clinic Inc

Data Provided By:
Dr.Harold Kernodle
(336) 538-1234
1234 Huffman Mill Road
Burlington, NC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.3, out of 5 based on 3, reviews.

Data Provided By:
Ronald A Pruitt, MD
(336) 227-3621
316 N Graham Hopedale Rd
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
William Alan Somers, MD
(919) 245-3000
3634 Sparrow Hawk Crst
Hillsborough, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1972

Data Provided By:
Benjamin F Lowe, DDS
(336) 226-8417
306 Alamance Rd Ste C
Burlington, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Walter Hayes, MD
(336) 570-8724
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1968

Data Provided By:
Howard Edward Miller, MD
(336) 584-5544
1236 Huffman Mill Rd Ste 1300
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1974

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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