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The Modified Temptation Resistance Task: A Paradigm to Elicit Children's Strategic Lie-telling
06:51

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Published on: April 6, 2018

Moral complexity.

James D Capozzi1, Wesley Bronson, Rosamond Rhodes

  • 1Department of Orthopaedic Surgery, Winthrop University Hospital, 222 North Station Plaza, Mineola, NY 11501, USA. jcapozzi@winthrop.org

The Journal of Bone and Joint Surgery. American Volume
|September 15, 2011
PubMed
Summary
This summary is machine-generated.

A surgical error occurred during spinal fusion surgery, resulting in incorrect instrumentation levels (L2-L5 instead of L3-S1). Despite the Fellow

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Last Updated: May 29, 2026

The Modified Temptation Resistance Task: A Paradigm to Elicit Children's Strategic Lie-telling
06:51

The Modified Temptation Resistance Task: A Paradigm to Elicit Children's Strategic Lie-telling

Published on: April 6, 2018

Area of Science:

  • Orthopaedic Surgery
  • Spine Surgery
  • Surgical Errors

Background:

  • Multilevel spinal decompression and instrumentation (L3-S1) was planned.
  • The procedure was delayed, starting late in the afternoon.
  • The attending surgeon opted against obtaining localization radiographs before proceeding.

Purpose of the Study:

  • To report a case of incorrect spinal instrumentation placement.
  • To highlight the importance of intraoperative imaging in spine surgery.
  • To discuss the management of intraoperative surgical errors.

Main Methods:

  • A four-level pedicle screw instrumentation and posterior-lateral fusion was performed.
  • Intraoperative radiographs were suggested but declined by the attending surgeon.
  • Post-instrumentation radiographs revealed incorrect level placement (L2-L5 instead of L3-S1).

Main Results:

  • Decompression was accurate at the intended levels.
  • Spinal instrumentation and fusion spanned L2 to L5, deviating from the planned L3 to S1.
  • The attending surgeon overruled the Fellow's recommendation to correct the instrumentation before wound closure.

Conclusions:

  • Failure to obtain intraoperative radiographs can lead to significant surgical errors in spinal instrumentation.
  • Adherence to established surgical protocols, including imaging, is crucial for patient safety.
  • Effective communication and decision-making in managing intraoperative deviations are vital in complex spine surgeries.