Thoracic Spine Injury Specialists Opelika AL

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David William Scott, MD
(334) 749-8303
PO Box 2125
Opelika, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1977

Data Provided By:
James Rodman Whatley
(334) 749-8303
121 North 20th Street # 18
Opelika, AL
Specialty
Orthopedic Surgery

Data Provided By:
Frazier Kavanuagh Jones
(334) 749-8303
121 N 20th St
Opelika, AL
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Dr.Robert Mcalindon
(334) 528-2663
2000 Pepperell Parkway
Opelika, AL
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
David William Scott
(334) 749-8303
121 N 20th St
Opelika, AL
Specialty
Orthopedic Surgery

Data Provided By:
P Keith Woodall, DDS
(334) 749-1268
121 N 20th St Ste 20
Opelika, AL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Frazier Kavanaugh Jones, MD
(334) 749-8303
PO Box 2125
Opelika, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1990

Data Provided By:
Dr.Frazier Jones
(334) 749-8303
121 N 20th St # 18
Opelika, AL
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 2, reviews.

Data Provided By:
Todd Michael Sheils, MD
(205) 934-4668
121 N 20th St Ste 18
Opelika, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1998

Data Provided By:
Robert J McAlindon
(334) 528-2663
2000 Pepperell Parkway
Opelika, AL
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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