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Related Experiment Video

Updated: May 28, 2026

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
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Strategies to avoid wrong-site surgery during spinal procedures.

Wesley Hsu1, Ryan M Kretzer, Michael J Dorsi

  • 1Department of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina 27157-1029, USA. whsu@wakehealth.edu

Neurosurgical Focus
|October 4, 2011
PubMed
Summary
This summary is machine-generated.

Wrong-site surgery (WSS) is a rare but serious risk in spinal procedures. This review highlights factors increasing WSS risk and discusses prevention strategies for safer spine operations.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Patient Safety

Background:

  • Wrong-site surgery (WSS) is a rare but critical patient safety event.
  • Spine surgery presents unique localization challenges, increasing WSS risk compared to other surgical fields.
  • Factors contributing to WSS in spinal procedures require careful consideration.

Purpose of the Study:

  • To identify and discuss key factors contributing to wrong-site surgery in spinal procedures.
  • To review strategies and best practices for preventing wrong-site surgery during spinal operations.
  • To enhance clinician awareness and reduce the incidence of WSS in spine surgery.

Main Methods:

  • Literature review of existing studies and case reports on wrong-site surgery in spine surgery.
  • Analysis of inherent risks and challenges specific to spinal localization.
  • Synthesis of prevention strategies and recommendations from expert consensus and guidelines.

Main Results:

  • Spine surgery has unique anatomical complexities and localization difficulties that elevate WSS risk.
  • Potential errors include operating on the wrong spinal side or level.
  • Effective prevention requires addressing challenges in spinal localization and implementing robust safety protocols.

Conclusions:

  • Preventing wrong-site surgery in spinal procedures is crucial for patient safety and requires a multi-faceted approach.
  • Addressing specific challenges in spinal localization is key to reducing WSS incidence.
  • Adherence to standardized protocols and enhanced vigilance can significantly mitigate the risk of WSS in spine surgery.