Thoracic Spine Injury Specialists Moundsville WV

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Andrew Joseph Tatich, DDS
(304) 845-7050
912 2Nd St
Moundsville, WV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Charles Alan Tracy
(304) 242-0590
40 Medical Park
Wheeling, WV
Specialty
Hand Surgery

Data Provided By:
Jonathan David Lechner, MD
2101 Jacob St Ste 402
Wheeling, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1979

Data Provided By:
Mary Margaret Haus
(304) 234-3405
2101 Jacob St
Wheeling, WV
Specialty
Orthopedic Surgery

Data Provided By:
Robert John Zaleski, MD
(304) 242-9460
10 Medical Park Ste 203
Wheeling, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1975

Data Provided By:
Edward Phillips Polack
(304) 242-0590
40 Medical Park
Wheeling, WV
Specialty
Hand Surgery

Data Provided By:
Daniel Irwin Joseph, DDS
(304) 242-7222
1136 National Rd
Wheeling, WV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Dante Marra
(304) 242-8042
Ste 203, 10 Medical Park
Wheeling, WV
Gender
M
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons
Year of Graduation: 1992
Speciality
Orthopedic Surgeon
General Information
Hospital: Wheeling Hospital
Accepting New Patients: Yes
RateMD Rating
4.1, out of 5 based on 14, reviews.

Data Provided By:
Marjorie L Bush
(304) 242-0590
40 Medical Park
Wheeling, WV
Specialty
Hand Surgery

Data Provided By:
Lawrence E Wright, DDS
(304) 242-2444
305 Medical Park
Wheeling, WV
Specialties
Orthodontics/Dentofacial Orthopedics

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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