Thoracic Spine Injury Specialists Pierre SD

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Gonzalo Henry Sanchez, MD
(605) 222-0075
772 E Dakota Ave
Pierre, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1998

Data Provided By:
Gonzalo H Sanchez
(605) 224-7070
100 Mac Lane
Pierre, SD
Specialty
Orthopedic Surgery

Data Provided By:
Stephen Y Stout
(604) 224-7070
100 Mac Ln
Pierre, SD
Specialty
Orthopedic Surgery

Data Provided By:
Stuart Edward Fromm, MD
(605) 341-1414
7220 S Highway 16
Rapid City, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1990

Data Provided By:
Daniel G MacRandall
(605) 333-0400
1727 S Cleveland Ave
Sioux Falls, SD
Specialty
Orthopedic Surgery

Data Provided By:
Stephen Young Stout, MD
(605) 224-5901
711 E Wells Ave Ste 200
Pierre, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1980

Data Provided By:
Thomas E Roth, DDS
(605) 224-6205
711 E Wells Ave Ste 210
Pierre, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gerald Rexford Herrin, MD
(605) 224-2010
640 E Sioux Ave
Pierre, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1963

Data Provided By:
Dr.Robert Suga
(605) 331-5890
810 E 23rd St # 5000
Sioux Falls, SD
Gender
M
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd
Year of Graduation: 1981
Speciality
Orthopedic Surgeon
General Information
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Accepting New Patients: Yes
RateMD Rating
3.1, out of 5 based on 8, reviews.

Data Provided By:
Dr.Timothy M Zoellner
(605) 331-5890
810 E 23rd St # 5000
Sioux Falls, SD
Gender
M
Education
Medical School: Med Coll Of Wi
Year of Graduation: 1982
Speciality
Orthopedic Surgeon
General Information
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 4, reviews.

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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