Thoracic Spine Injury Specialists Portales NM

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John Dee Bailey, DO
(505) 784-3658
7704 Oklahoma Ct
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1990

Data Provided By:
Jose H Velez, MD
(505) 762-2223
2301 N Thomas St
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Peruana Cayetano Heredia, Prog Acad De Med, Lima, Peru
Graduation Year: 1975

Data Provided By:
Anthony F Pachelli, MD
(505) 724-4300
201 Cedar St SE
Albuquerque, NM
Business
New Mexico Orthopaedic Associates
Specialties
Orthopedics

Data Provided By:
Robert Warren Benson, MD
(505) 883-5192
7520 Montgomery Blvd NE Bldg D10 Ste 10
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1966
Hospital
Hospital: Presbyterian Hospital, Albuquerque, Nm; St Joseph Ne Heights, Albuquerque, Nm
Group Practice: Southwest Orthopaedic Spec

Data Provided By:
William John Drury, MD
(423) 745-9214
5400 Gibson Blvd SE
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1979

Data Provided By:
Jacob George, MD
(505) 763-1197
2301 N Thomas St
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Seth G S Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1973

Data Provided By:
Frederick John Hensal, MD
(806) 725-4865
2000 W 21st St Ste J
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Laura A Mitchell
(505) 841-1204
1100 Central Ave Se
Albuquerque, NM
Specialty
Hand Surgery

Data Provided By:
Steven H Feagler, MD
(505) 291-9089
900 Maverick Trl SE
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Allen R Gelinas, MD
(505) 246-9656
700 Lomas Blvd NE
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ottawa, Fac Of Med, Ottawa, Ont, Canada
Graduation Year: 1961

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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