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Avoidance of Wrong-level Thoracic Spine Surgery Using Sterile Spinal Needles: A Technical Report.

Kingsley R Chin1, Jason Seale, Vanessa Cumming

  • 1*Department of Clinical Biomedical Sciences, Charles E. Schmidt College of Medicine at Florida Atlantic University †Institute for Modern and Innovative Surgery (iMIS) ‡LES Society, Fort Lauderdale, FL.

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Summary

This study introduces a new technique using spinal needles on transverse processes to accurately identify thoracic spine levels, preventing wrong-level surgeries in both open and percutaneous procedures.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Surgical Navigation

Background:

  • Wrong-level spine surgery carries significant patient and surgeon implications.
  • Accurate localization of thoracic levels is a persistent challenge in spinal surgery.
  • Existing localization techniques may be insufficient, leading to potential errors.

Observation:

  • A novel technique utilizes sterile spinal needles docked on transverse processes for thoracic level localization.
  • This method was applied starting from the lumbar spine (L3) and counting upwards to target thoracic vertebrae.
  • Spinal needles were placed at T12 and subsequent target levels, confirmed with fluoroscopy.

Findings:

  • The described technique successfully maintained accurate thoracic level markers throughout surgical procedures.
  • The method proved effective for both open and percutaneous spinal interventions.
  • Postoperative imaging confirmed the correct placement of surgical instrumentation.

Implications:

  • This technique offers a reliable solution to prevent wrong-level thoracic spine surgery.
  • It enhances surgical precision and patient safety in spinal procedures.
  • The reproducibility across different surgical approaches suggests broad clinical applicability.