Radiograms Obtained during Anterior Cervical Decompression and Fusion Can Mislead Surgeons into Performing Surgery at the Wrong Level
Joint Authors
Takahashi, Kazuhisa
Mannoji, Chikato
Koda, Masao
Furuya, Takeo
Okamoto, Yuzuru
Kon, Tamiyo
Yamazaki, Masashi
Murakami, Masazumi
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 68-year-old woman who suffered from C5 nerve palsy because of a C4-5 disc herniation was referred to our hospital.
We conducted anterior cervical decompression and fusion (ACDF) at the C4-5 level.
An intraoperative radiogram obtained after exposure of the vertebrae showed that the level at which we were going to perform surgery was exactly at the C4-5 level.
After bone grafting and temporary plating, another radiogram was obtained to verify the correct placement of the plate and screws, and it appeared to show that the plate bridged the C5 and C6 vertebrae at the incorrect level.
The surgeon was astonished and was about to begin decompression of the upper level.
However, carefully double-checking the level with a C-arm image intensifier before additional decompression verified that the surgery was conducted correctly at C4-5.
Cautiously double-checking the level of surgery with a C-arm image intensifier is recommended when intraoperative radiograms suggest surgery at the wrong level.
American Psychological Association (APA)
Mannoji, Chikato& Koda, Masao& Furuya, Takeo& Okamoto, Yuzuru& Kon, Tamiyo& Takahashi, Kazuhisa…[et al.]. 2014. Radiograms Obtained during Anterior Cervical Decompression and Fusion Can Mislead Surgeons into Performing Surgery at the Wrong Level. Case Reports in Orthopedics،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034876
Modern Language Association (MLA)
Mannoji, Chikato…[et al.]. Radiograms Obtained during Anterior Cervical Decompression and Fusion Can Mislead Surgeons into Performing Surgery at the Wrong Level. Case Reports in Orthopedics No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1034876
American Medical Association (AMA)
Mannoji, Chikato& Koda, Masao& Furuya, Takeo& Okamoto, Yuzuru& Kon, Tamiyo& Takahashi, Kazuhisa…[et al.]. Radiograms Obtained during Anterior Cervical Decompression and Fusion Can Mislead Surgeons into Performing Surgery at the Wrong Level. Case Reports in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034876
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034876