Thoracic Spine Injury Specialists Pendleton OR

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Bradley Scott Adams, MD
(541) 276-4642
1416 SE Ct
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1996

Data Provided By:
Durk V Irwin, DDS
(541) 276-7819
610 SW Dorion Ave
Pendleton, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Knute C Buehler
(541) 382-3344
2200 Ne Nett Road
Bend, OR
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Dan G Sewell
(503) 540-6300
1600 State Street
Salem, OR
Specialty
Orthopedic Surgery

Data Provided By:
James H Van Olst, MD FACS
(541) 754-1636
3855 NW Lincoln Ave
Corvallis, OR
Gender
Male
Education
Medical School: Iowa
Graduation Year: 1956

Data Provided By:
Charles Thomas Weeks, MD
(541) 276-4642
1416 SE Court Ave
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1966
Hospital
Hospital: St Anthony Hospital, Pendleton, Or
Group Practice: Eastern Oregon Orthopaedic

Data Provided By:
Dr.Scott Jacobson
(541) 382-3344
2200 NE Neff Rd # 200
Bend, OR
Gender
M
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med
Year of Graduation: 1988
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
Dr.John Austin
(503) 452-0915
21255 NW Jacobson Rd # 500
Hillsboro, OR
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.0, out of 5 based on 4, reviews.

Data Provided By:
Earl Duane Peterson, MD
(541) 779-6250
3188 Ross Ln
Central Point, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1963

Data Provided By:
Alex Maurice Herzberg, MD
(503) 494-6415
OP31 3181 SW Sam Jackson Park Rd
Portland, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1992

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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