{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T19:54:23Z","timestamp":1789761263048,"version":"4.0.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 67-year-old woman who presented with left-sided upper back pain, upper trunk paresthesia, and CT-identified left neural foraminal stenosis at T7 to T8 was planned for posterior spinal fusion and decompression using a robotic system. T7 to T8 was labelled with manual sacral counting. T7 to T8 level was registered robotically, but the arm was sent to the T5 to T6 level. T7 to T12 was re-registered, and the robot successfully targeted the correct site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Technology is still fraught with error and is still in its nascency. It is important to use traditional methods with intraoperative verification to prevent errors in wrong-level thoracic spinal surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00259","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T23:00:18Z","timestamp":1764198018000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Devil is in the Details\u2014Near-Miss Wrong-Level Thoracic Spine Surgery Despite Robotic Navigation"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0566-2945","authenticated-orcid":false,"given":"Michael","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8224-9517","authenticated-orcid":false,"given":"Lawal","family":"Labaran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6940-5763","authenticated-orcid":false,"given":"Ved A.","family":"Vengsarkar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"},{"name":"Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4322-8238","authenticated-orcid":false,"given":"Li","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2688-740X","authenticated-orcid":false,"given":"Xudong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"1","key":"bib3-20251126","doi-asserted-by":"crossref","first-page":"e2(1)","DOI":"10.2106\/JBJS.K.00524","article-title":"The occurrence of wrong-site surgery self-reported by candidates for certification by the American board of orthopaedic surgery","volume":"94","author":"James","year":"2012","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib7-20251126","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/BRS.0b013e31816043d1","article-title":"The prevalence of wrong level surgery among spine surgeons: spine","volume":"33","author":"Mody","year":"2008","journal-title":"Spine."},{"issue":"6","key":"bib8-20251126","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1016\/j.jos.2023.11.005","article-title":"Wrong-level spine surgery: a multicenter retrospective study","volume":"29","author":"Saito","year":"2024","journal-title":"J Orthopaedic Sci"},{"issue":"6","key":"bib9-20251126","first-page":"e8684","article-title":"Anatomical variations that can lead to spine surgery at the wrong level: part II thoracic spine","volume":"12","author":"Shah","year":"2020","journal-title":"Cureus."},{"key":"bib10-20251126","first-page":"9","article-title":"Robotic-assisted spine surgery: history, efficacy, cost, and future trends","volume":"6","author":"D'Souza","year":"2019","journal-title":"Robotic Surg (Auckland)."},{"issue":"4","key":"bib11-20251126","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1016\/j.jos.2023.06.003","article-title":"Safety of robotic-assisted screw placement for spine surgery: experience from the initial 125 cases","volume":"29","author":"Akazawa","year":"2024","journal-title":"J Orthop Sci."},{"issue":"24","key":"bib12-20251126","doi-asserted-by":"crossref","first-page":"1720","DOI":"10.1097\/BRS.0000000000003691","article-title":"Prevention of wrong-level surgery in the thoracic spine: preoperative computer tomography fluoroscopy-guided percutaneous gold fiducial marker placement in 57 patients","volume":"45","author":"Ishak","year":"2020","journal-title":"Spine."},{"issue":"5","key":"bib13-20251126","doi-asserted-by":"crossref","first-page":"792","DOI":"10.3171\/2021.8.SPINE21480","article-title":"Pre- and intraoperative thoracic spine localization techniques: a systematic review","volume":"36","author":"Strong","year":"2022","journal-title":"J Neurosurg Spine."},{"issue":"2","key":"bib14-20251126","doi-asserted-by":"crossref","first-page":"305","DOI":"10.21037\/jss-23-40","article-title":"Robotic-assisted spine surgery\u2014a narrative review","volume":"10","author":"Antonacci","year":"2024","journal-title":"J Spine Surg."},{"issue":"1","key":"bib15-20251126","doi-asserted-by":"crossref","first-page":"E54","DOI":"10.1097\/BSD.0b013e3182a35762","article-title":"Avoidance of wrong-level thoracic spine surgery using sterile spinal needles: a technical report","volume":"30","author":"Chin","year":"2017","journal-title":"Clin Spine Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:54:47Z","timestamp":1787752487000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00259"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00259","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}