Thoracic Spine Injury Specialists North Augusta SC

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Mercer T Bridges, MD FACS
618 Bramble Rd
North Augusta, SC
Gender
Male
Education
Medical School: Georgia
Graduation Year: 1963

Data Provided By:
William Howard Hudson
(706) 722-3401
811 13th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Simeon Marcus Fulcher, MD
(706) 721-2846
1120 15th St
Augusta, GA
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1992

Data Provided By:
Raymond Scott Corpe, MD
(706) 721-2318
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1980

Data Provided By:
LeRoy Fullerton, Jr, MD
Augusta, GA
Specialty
Orthopaedic Sugeon

Data Provided By:
Paul James Herzwurm, MD
(706) 722-3401
811 13th St Bldg 3 Ste 20
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1986

Data Provided By:
John Simpson Clapp
(706) 721-1801
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
William Howard Hudson, MD
(404) 722-3401
811 13th St Ste 20
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1974

Data Provided By:
Tyler Gunderson, MD
(706) 721-1633
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Julie Gladden Barre
(706) 364-5576
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Data Provided By:

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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