Thoracic Spine Injury Specialists North Platte NE

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John David Hannah, MD
(308) 534-6655
611 W Francis St Ste 290
North Platte, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1993

Data Provided By:
John W Haugen, DDS
(308) 534-1783
611 W Francis St # 230
North Platte, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Peter B Brassard, MD
(308) 534-6655
611 W Francis St Ste 290
North Platte, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1971

Data Provided By:
Dennis P McGowan, MD
(308) 237-0889
1215 First Ave
Kearney, NE
Business
Dennis P McGowan MD
Specialties
Orthopedics

Data Provided By:
William Michael Walsh, MD
(402) 637-0800
2725 S 144th St Ste 212
Omaha, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1971

Data Provided By:
Benjamin Bissell, MD
North Platte, NE
Specialty
Orthopaedic Sugeon

Data Provided By:
Mark Kimball Mc Kenzie, MD
(308) 534-6655
3000 W Leota St
North Platte, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1986

Data Provided By:
Benjamin Bissell, MD
(308) 534-6655
215 McNeel Lane
North Platte, NE
Specialty
Orthopedic Surgeon, Sports Medicine

Samar Kumar Ray, MD
(402) 637-0800
2725 S 144th St Ste 212
Omaha, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Calcutta Nat'L Med Coll, Univ Of Calcutta, Calcutta, West Bengal
Graduation Year: 1965

Data Provided By:
Michael T O'Neil
(402) 552-2500
4239 Farnam St
Omaha, NE
Specialty
Orthopedic Surgery

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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