The research objective was to do a retrospective review of the practice of 3 surgeons in a single-center during one year. The doctors and researchers have aimed to investigate our adherence to the Society of British Neurological Surgeons (SBNS) guidelines regarding intra-operative imaging during lumbar surgery and determine if this impacts the length of complications rates, in particular grades of wrong-level surgery. They reviewed the surgical logbooks of 3 consultant neurosurgeons in our center for one year between October 2015 and October 2016. Our study included 301 patients who had undergone lumbar decompression or lumbar discectomy during this period.

The result says that there were no cases of wrong-level surgery. Initially, they exposed the incorrect spinal level in 13 cases. 10 of these had x-ray 2 only, 1 had x-ray 1, 1 had x-rays 1 and 2, and 1 had all 3 x-rays. Surgeon B performed 8 of these cases, four were performed by surgeon C, and 1 by surgeon A. The median duration of surgery was 80 minutes for lumbar decompression and 67.5 minutes for lumbar discectomy. The median duration of surgery in patients in whom the wrong level was initially exposed was 85 minutes for lumbar decompression and 80 minutes for lumbar discectomy.

Ref: https://www.tandfonline.com/doi/full/10.1080/02688697.2018.1562030