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- W2111625761 abstract "Background: Surveys have demonstrated that wrong-site surgery of the spine is performed by up to 50% of spine surgeons over the course of a career. Inaccurate identification of appropriate vertebral levels is a common reason for wrong-site spine surgery. The present study examined the prevalence of variations in the number of vertebrae in patients with adolescent idiopathic scoliosis. Methods: A retrospective review of radiographs and reports of 364 consecutive patients undergoing operative treatment for adolescent idiopathic scoliosis at a single center was performed. The study included eighty-eight male patients (24%) and 276 female patients (76%) with a mean age of fourteen years (range, ten to twenty years). Radiographs were reviewed to assess the number of thoracic and lumbar vertebrae and the presence of a lumbosacral transitional vertebra. Results: Ten percent of the patients (thirty-eight) had an atypical number of vertebrae in the thoracic and/or lumbar spine. Twenty-one patients (5.8%) had an atypical number of thoracic vertebrae, with fourteen having eleven thoracic vertebrae and seven patients having thirteen. Twenty-four patients (6.6%) had an atypical number of lumbar vertebrae, with four having four lumbar vertebrae and twenty patients having six. A lumbosacral transitional vertebra was present in 6.3% (twenty-three) of the patients. Multilevel vertebral anomalies were present in 1.9% of the patients (seven of 364). A variation in the number of vertebrae had been identified in 0.5% (two) of the reports by the radiologist. Conclusions: Variations in the number of thoracic or lumbar vertebrae were found in 10% of patients with adolescent idiopathic scoliosis but had been identified in only 0.5% of the radiology reports. Clinical Relevance: Assessment of possible variations in the number of vertebrae is important to help avoid surgery at the wrong vertebral level." @default.
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- W2111625761 date "2013-05-01" @default.
- W2111625761 modified "2023-09-23" @default.
- W2111625761 title "Ten Percent of Patients with Adolescent Idiopathic Scoliosis Have Variations in the Number of Thoracic or Lumbar Vertebrae" @default.
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- W2111625761 doi "https://doi.org/10.2106/jbjs.l.00461" @default.
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