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脊柱手术部位错误

Wrong-site Spine Surgery.

机构信息

Department of Orthopaedic Surgery, the Warren Alpert Medical School of Brown University, Providence, RL, USA.

出版信息

J Am Acad Orthop Surg. 2013 May;21(5):312-20. doi: 10.5435/JAAOS-21-05-312.

DOI:10.5435/JAAOS-21-05-312
PMID:23637150
Abstract

Wrong-site spine surgery is an adverse event that has potentially devastating consequences for the patient as well as the surgeon. Despite substantial efforts to prevent wrong-site spine surgery, this complication continues to occur and has the potential for serious medical, personal, and legal repercussions. Although systems-based prevention methods are effective in identifying the proper patient, procedure, and region of the spinal column, they cannot be relied on to establish the correct vertebral level during the operation. The surgeon must design and implement a patient-specific protocol to ensure that the appropriate operation is performed on the correct side and level or levels of the spinal column.

摘要

错误部位脊柱手术是一种不良事件,对患者和外科医生都可能产生毁灭性的后果。尽管已经做出了大量努力来预防错误部位脊柱手术,但这种并发症仍在继续发生,并可能带来严重的医疗、个人和法律后果。尽管基于系统的预防方法在识别正确的患者、手术和脊柱区域方面非常有效,但它们不能依赖于在手术过程中确定正确的椎骨水平。外科医生必须设计并实施特定于患者的方案,以确保在脊柱的正确侧和正确水平或水平上进行适当的手术。

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