Outpatient Surgery Magazine

Back To Work - June 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1259627

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Page 101 of 116

1 0 2 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 2 0 T he nature of spine surgery makes the risk of wrong-site errors greater than in any other surgical disci- pline. Similar-looking vertebrae, patient obesity, anatomic abnormalities and visualization limita- tions all play a role in surgeons mistaking which area of the spine they intended to work on. Thankfully, there are several solutions available – some expensive, some virtually free of cost – that can help surgeons properly identify the level of the spine that needs to be repaired or replaced. 1. Count correctly Most vertebrae anatomy looks the same, so the only way to know you're at the correct spot is to find an anatomical landmark that looks different from the rest of the spine, and count vertebrae until you reach the disc that needs treatment. When surgeons operate in the lumbar region, for example, they generally find the sacrum and count up to the spinal level they want to work on. When dealing with the cervical spine, they count down from the C2 vertebrae. The thoracic Sheeraz Qureshi, MD, MBA | New York City How to Prevent Wrong-Site Spine Surgery Imaging enhancements and culture changes in the OR will ensure these errors truly are never events. GOOD COUNT Sheeraz Qureshi, MD, MBA (left), counts the discs from the sacrum or the C2 vertebrae to avoid a wrong-site surgery. Hospital for Special Surgery

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