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Related Experiment Video

Updated: Apr 7, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

5.5K

Spinal surgeons need to read patients' studies to avoid missing pathology.

Nancy E Epstein1, Renee D Hollingsworth1, Richard Silvergleid2

  • 1Department of Neuroscience, Winthrop University Hospital, 200 Old Country Road, Suite 485, Mineola, NY, USA.

Surgical Neurology International
|July 14, 2015
PubMed
Summary

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Perspective/short review: Diagnosis and surgery for mostly dorsal thoracic spinal arachnoid webs with/ without Syrinxes and/or Spinal Arachnoid Cysts.

Surgical neurology international·2026
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Retained foreign bodies in spine surgery: Never events, near never events, but not just adverse events.

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Perspective/short review: Mandatory intraoperative neurological monitoring (IONM) for thoracic ossification of the posterior longitudinal ligament (OPLL).

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Review/Short Perspective: "Never Events" likely never occur without a breach in the standard of care (SOC) while "Near Never Events" are typically not far behind.

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Perspective/short review: Adverse events associated with placement of spinal cord stimulators (SCS).

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Updated perspective: STAT surgery for significant cauda equina syndromes.

Surgical neurology international·2026

Spine surgeons must review imaging directly, not just reports. A missed C5-C6 tumor diagnosis caused a 2.5-year delay, leading to severe quadriparesis and complex surgery.

Area of Science:

  • Neurosurgery
  • Spinal Imaging
  • Radiology

Background:

  • Spine surgeons often rely on radiological reports for routine consultations.
  • Best practice necessitates surgeons independently assessing diagnostic images for accuracy.

Purpose of the Study:

  • To highlight the critical importance of direct image review by spine surgeons.
  • To illustrate the potential consequences of misinterpreting or missing findings on spinal imaging.

Main Methods:

  • A case study of a 54-year-old male with cervical spine issues.
  • Review of original (2012) and follow-up (2015) enhanced magnetic resonance imaging (MR) scans of the cervical spine.

Main Results:

  • Original 2012 MR, read as mild spondylosis, actually showed a C5-C6 tumor missed by the radiologist.
Keywords:
Computed tomographyenhanced magnetic resonance imagingmagnetic resonance imagingmeningiomaquadriparesisradiologyread studiesspinal surgerysurgeon

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  • By 2015, the tumor grew 6.7-fold, causing severe spastic quadriparesis due to spinal cord and nerve root compression.
  • Post-surgery (C4-C6 laminectomy), the patient recovered neurologically intact.

    • Conclusions:

    • Failure to identify the tumor on the initial scan led to a 2.5-year surgical delay.
    • This delay resulted in severe preoperative neurological deficits and a more difficult surgical procedure.
    • Emphasizes the necessity for spine surgeons to meticulously review both images and reports of diagnostic studies.