Chirurgicam patientes estote et situm errores sunt gravis et preventable. Secundum ad iuncturam commissionem in accreditation de curis in organizationibus, tam errores potest fieri in ad XLI% of orthopaedicarum / Pediatric surgeries. Nam SPINA Surgery, a Site Error occurs cum vertebralis segmentis vel lateralization falsa. Praeter deficiente ad inscriptio patientes estote in symptoms et pathologia, segments errores potest ducere ad novum medical difficultates ut accelerato discus degenerationem seu medulla instabilitatem in aliter asymptomatic aut normalis in instabilitatem in aliter asymptomatic vel normalis in segmentis.
Sunt etiam legalis exitibus consociata cum segmentalis errores in spina surgery et publico, imperium agencies, hospitalium, et societates chirurgi habere nulla tolerantia talis errores. Multi medulla surgeries, ut disecectomy, fusionem, Laminectomy Decompression et Kyphoplasty, quae fiunt per posteriori accedunt et propriis positioning est momenti. Quamvis current imaginatione technology, segnonomy errores tamen fieri, cum incidentiae rates vnding a 0.032% ad XV% nuntiavit in litterae. Nulla conclusio quo modo localization est accurate.
Scholars ab Department of orthopaedicarum surgery in monte Sinai School of Medicine, USA, conducted an online Quaestionario studium suggerente quod ingens major ex spina chirurgica utuntur solum pauci modi potest esse in reducendo May MMXIV in spina J. in an articulo usura et Emailed Quaestionario. De studiis erat conducted usura an emailed link to a Quaestionario ad membra Septentrionalis American Spina Societate (including orthopaedicarum chirurgi et neurosurgeons). Quaestionario missi tantum semel, ut suadetur per North American spina societatis. A summa MMCCCXXXVIII medicos accepit eam, DXXXII aperuit vinculum et CLXXIII (7.4% RESPONSIO Rate) perficitur Quaestionario. Septuaginta-duo percent de completers fuerunt orthopaedicarum chirurgi, XXVIII% erant neurosurgeons et LXXIII% erant spina medicos in disciplina.
Quaestionario constabat ex totalis VIII quaestiones (Fig. I) covering plerumque solebant modi localization (utrisque anatomica terminos et imagine localization), et incidentiae in modos et segments et consociatio inter modos et segnonomi errores. Quaestionario erat non gubernator probata et convalidatur. Quaestionario concedit enim multiple responsum electiones.
Figura I octo quaestiones ex Quaestionario. The results showed that intraoperative fluoroscopy was the most commonly used method of localization for posterior thoracic and lumbar spine surgery (89% and 86%, respectively), followed by radiographs (54% and 58%, respectively). LXXVI medicos elegit ut utroque ex utroque modi ad localization. Spinorum processus et correspondentes sunt maxime vulgo anatomic terminos thoracicae et lumborum spina surgery (LXVII% et LIX%), sequitur spinorum processibus (XLIX% et LII) (Fig. II). LXVIII% of medicis admitti, quod fecerat segmentum localization errores in usu, quidam de quibus corripitur intraoperative (Fig. III).
Fig. II imaging et anatomica terminum localization modi usus.
Fig. III medicus et intraoperative disciplinam chirurgicam segmentum errorum.
Nam localization errores, LVI% de his medicis usus preoperative radiographs et XLIV% usus intraopative fluoroscopy. Et solito rationes pro preoperative positioning errores fuerunt defectum ad visualize a notum reference punctum (eg, in sacra spina non includitur in MRI), anatomica in corporalis conditione (suboptimal X-Ray Display). Commune Causas intraoperative positioning errores includit insufficiens communicationis cum fluoroscopicus, defectum repositioning post positioning (motus de positioning acus post Fluoroscopy), et falsa referat puncta durante positioning (IV).
Fig. IV causas pro preoperative et intraoperative localization errores.
Praeterea, quamvis plures modi localisation, ingens maior pars medici uti paucis eorum. Licet chirurgicam segments errores rara, idealiter absentes. Non est modus ad eliminare erroribus; Tamen, taking tempus praestare positioning et identifying solito causas de positioning errores potest auxilium reducere incidentia of chirurgicam segmentalis errores in Thoracolumbalis spina.
Post tempus: Iul-24-2024
