Anatomical Variations That Can Lead to Spine Surgery at the Wrong Level: Part I, Cervical Spine

Curēus
Manan ShahMarc D Moisi

Abstract

Spine surgery at the wrong level is an adversity that many spine surgeons will encounter in their career, and it falls under the wrong-site surgery sentinel events reporting system. The cervical spine is the second most common location in the spine at which surgery is performed at the wrong level. Anatomical variations of the cervical spine are one of the most important incriminating risk factors. These anomalies include craniocervical junction abnormalities, cervical ribs, hemivertebrae, and block/fused vertebrae. In addition, patient characteristics, such as tumors, infection, previous cervical spine surgery, obesity, and osteoporosis, play an important role in the development of cervical surgery at the wrong level. These were described, and several effective techniques to prevent this error were provided. A thorough review of the English-language literature was performed in the database PubMed between 1981 and 2019 to review and summarize these risk factors. Compulsive attention to these factors is essential to ensure patient safety. Therefore, the surgeon must carefully review the patient's anatomy and characteristics through imaging and collaborate with radiologists to reduce the likelihood of performing cervical spine sur...Continue Reading

References

Mar 1, 1994·Radiographics : a Review Publication of the Radiological Society of North America, Inc·W R Smoker
Mar 10, 2004·Hand Clinics·Erdoğan Atasoy
Jun 21, 2005·Clinical Biomechanics·Gunnar LeivsethPaul Brinckmann
Jan 17, 2008·Spine·Milan G ModyKim J Garges
Mar 4, 2009·The Journal of Bone and Joint Surgery. American Volume·David A WongNorman A Johanson
May 11, 2011·Journal of Korean Neurosurgical Society·Ji Won ChoiHyung Sik Hwang
Oct 19, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R Shane TubbsW Jerry Oakes
Oct 31, 2012·The Journal of Bone and Joint Surgery. British Volume·U G LongoV Denaro
Oct 30, 2015·Korean Journal of Spine·Kiyasettin AsilBirol Ozkal
May 18, 2016·Global Spine Journal·Keith L Jackson, John G Devine
Dec 16, 2016·BioMed Research International·Łukasz SpadlińskiMichał Polguj
Apr 25, 2017·Journal of Spine Surgery·Jin W TeeMichael Boyd
Oct 14, 2017·Clinical Case Reports·Stylianos KapetanakisVladimir Stavrev
Jan 19, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Mohammadali M ShojaR Shane Tubbs
Apr 5, 2018·Insights Into Imaging·Apeksha ChaturvediSteven P Meyers

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Citations

Mar 7, 2021·Animals : an Open Access Journal From MDPI·Pavel ProksMassimo Vignoli

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Methods Mentioned

BETA
X-ray

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