Journal of Spine

Fabio J.R. Pencle

Publications

• Case Report
  Avoidance of Wrong Level Surgery in the Lumbar Spine: A Technical Report
  Author(s): Kingsley R. Chin, Fabio J.R. Pencle, Jonathan Kubik, André V. Coombs, Jason A. Seale, Neel Desai and Vanessa B CummingKingsley R. Chin, Fabio J.R. Pencle, Jonathan Kubik, André V. Coombs, Jason A. Seale, Neel Desai and Vanessa B Cumming
  
  Study Background: Wrong level surgery remains one of the detrimental technical mistakes that can occur during a surgeon’s career. There is a higher frequency of wrong site surgery in the lumbar spine compared to the cervical spine. The authors aim to present a localization technique designed to aid in the prevention of wrong level surgery with the use of preoperative and intraoperative localization. Methods: We prospectively followed 240 patients who underwent less exposure surgery for the lumbar spine. We identified the correct operative level using a combination of a 22-guage spinal needle placed under fluoroscopy in the lamina of the vertebra of the target intervertebral disc space prior to incision and then placing a hooked dilator between the spinous processes of the intervertebral space to provide actual confirmation within the o.. Read More»
  DOI: 10.4172/2165-7939.1000257

  Abstract PDF