Thoracic Spine Injury Specialists Ridgeland MS

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Manish Arun Patel, MD
(601) 354-4488
Ridgeland, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Allegheny Univ Of Hlth Sciences, Philadelphia Pa 19129
Graduation Year: 2000

Data Provided By:
Robert Kersey Mehrle Jr, MD
Ridgeland, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1999

Data Provided By:
James Julius Ratliff, DDS
(601) 957-9999
11 Northtown Dr Ste 105
Jackson, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Eugene C Brown, DDS
(601) 957-1711
5800 Ridgewood Rd Ste 103
Jackson, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Goodwyne Caden, MD
(601) 969-0909
5536 Ridgewood Rd
Jackson, MS
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Jason William Levine, MD
(419) 383-6077
Ridgeland, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 2000

Data Provided By:
Christopher Hans Henry, DDS
(601) 957-1711
Ridgeland, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joseph M Conflitti, MD
Jackson, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx A & M Univ Coll Of Med, College Station Tx 77843
Graduation Year: 1995

Data Provided By:
Lloyd Franklin M Mercer, MD
(601) 853-2351
Madison, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1969

Data Provided By:
K Noel Reed, DDS
(601) 898-8000
451 Pebble Creek Dr
Madison, MS
Specialties
Orthodontics/Dentofacial Orthopedics

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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