Errors of level in spinal surgery: an evidence-based systematic review
| Autor: | Vincenzo Denaro, Mattia Loppini, U. G. Longo, Nicola Maffulli, Giovanni Romeo |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice Evidence-Based Medicine Medical Errors business.industry Incidence (epidemiology) Incidence MEDLINE Evidence-based medicine Cervical spine humanities Spinal surgery Neurosurgical Procedures Spine Surgery Lumbar medicine Lumbar spine surgery Humans Orthopedics and Sports Medicine business health care economics and organizations |
| Popis: | Wrong-level surgery is a unique pitfall in spinal surgery and is part of the wider field of wrong-site surgery. Wrong-site surgery affects both patients and surgeons and has received much media attention. We performed this systematic review to determine the incidence and prevalence of wrong-level procedures in spinal surgery and to identify effective prevention strategies. We retrieved 12 studies reporting the incidence or prevalence of wrong-site surgery and that provided information about prevention strategies. Of these, ten studies were performed on patients undergoing lumbar spine surgery and two on patients undergoing lumbar, thoracic or cervical spine procedures. A higher frequency of wrong-level surgery in lumbar procedures than in cervical procedures was found. Only one study assessed preventative strategies for wrong-site surgery, demonstrating that current site-verification protocols did not prevent about one-third of the cases. The current literature does not provide a definitive estimate of the occurrence of wrong-site spinal surgery, and there is no published evidence to support the effectiveness of site-verification protocols. Further prevention strategies need to be developed to reduce the risk of wrong-site surgery. |
| Databáze: | OpenAIRE |
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