{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:32:10Z","timestamp":1777735930405,"version":"3.51.4"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,28]]},"DOI":"10.7759\/cureus.9433","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T08:12:27Z","timestamp":1595923947000},"source":"Crossref","is-referenced-by-count":14,"title":["Anatomical Variations That Can Lead to Spine Surgery at the Wrong Level: Part III Lumbosacral Spine"],"prefix":"10.7759","author":[{"given":"Manan","family":"Shah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dia R","family":"Halalmeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aubin","family":"Sandio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Shane","family":"Tubbs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc D","family":"Moisi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B11.29553","article-title":"Errors of level in spinal surgery: an evidence-based systematic review.J","volume":"94-B","author":"Longo UG","year":"2012","unstructured":"Longo UG, Loppini M, Romeo G, Maffulli N, Denaro V. Errors of level in spinal surgery: an evidence-based systematic review.J. Bone Joint Surg Br. 2012, 94-B:1546-1550. 10.1302\/0301-620X.94B11.29553","journal-title":"Bone Joint Surg Br"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01439","article-title":"Medical errors in orthopaedics: results of an AAOS member survey","volume":"91","author":"Wong DA","year":"2009","unstructured":"Wong DA, Herndon JH, Canale ST, et al.. Medical errors in orthopaedics: results of an AAOS member survey. J Bone Joint Surg Br Am. 2009, 91:547-557. 10.2106\/JBJS.G.01439","journal-title":"J Bone Joint Surg Br Am"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31816043d1","article-title":"The prevalence of wrong level surgery among spine surgeons","volume":"33","author":"Mody MG","year":"2008","unstructured":"Mody MG, Nourbakhsh A, Stahl DL, Gibbs M, Alfawareh M, Garges KJ. The prevalence of wrong level surgery among spine surgeons. Spine. 2008, 33:194-198. 10.1097\/BRS.0b013e31816043d1","journal-title":"Spine"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3171\/SPI-07\/11\/467","article-title":"Wrong-sided and wrong-level neurosurgery: a national survey","volume":"5","author":"Jhawar BS","year":"2007","unstructured":"Jhawar BS, Mitsis D, Duggal N. Wrong-sided and wrong-level neurosurgery: a national survey. J Neurosurg Spine. 2007, 5:467-472. 10.3171\/SPI-07\/11\/467","journal-title":"J Neurosurg Spine"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2017.08.005","article-title":"Building consensus: development of best practice guidelines on wrong level surgery in spinal deformity","volume":"6","author":"Vitale M","year":"2018","unstructured":"Vitale M, Minkara A, Matsumoto H, et al.. Building consensus: development of best practice guidelines on wrong level surgery in spinal deformity. Spine Deform. 2018, 6:121-129. 10.1016\/j.jspd.2017.08.005","journal-title":"Spine Deform"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.8684","article-title":"Anatomical variations that can lead to spine surgery at the wrong level: part II thoracic spine.","volume":"12","author":"Shah M","year":"2020","unstructured":"Shah M, Halalmeh DR, Sandio A, Tubbs RS, Moisi MD\r\n. Anatomical variations that can lead to spine surgery at the wrong level: part II thoracic spine.. Cureus. 2020, 12:e8684. 10.7759\/cureus.8684","journal-title":"Cureus"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2011.08.005","article-title":"The prevalence of transitional vertebrae in the lumbar spine","volume":"11","author":"Apazidis A","year":"2011","unstructured":"Apazidis A, Ricart PA, Diefenbach CM, Spivak JM. The prevalence of transitional vertebrae in the lumbar spine. Spine J. 2011 , 11:858-862. 10.1016\/j.spinee.2011.08.005","journal-title":"Spine J"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2036","article-title":"Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance","volume":"31","author":"Konin GP","year":"2010","unstructured":"Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings, and clinical relevance. Am J Neuroradiol. 2010, 31:1778-1786. 10.3174\/ajnr.A2036","journal-title":"Am J Neuroradiol"},{"key":"ref9","article-title":"Segmental anomaly leading to wrong level disc surgery in cauda equina syndrome","volume":"7","author":"Malanga GA","year":"2004","unstructured":"Malanga GA, Cooke PM. Segmental anomaly leading to wrong level disc surgery in cauda equina syndrome. Pain Physician. 2004, 7:107-110.","journal-title":"Pain Physician"},{"key":"ref10","article-title":"The clinical significance of lumbosacral transitional anomalies","volume":"73 (6)","author":"Bron JL","year":"2007","unstructured":"Bron JL, van Royen BJ, Wuisman PI. The clinical significance of lumbosacral transitional anomalies. Acta Orthop Bel. 2007, 73 (6):687-695.","journal-title":"Acta Orthop Bel"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198407000-00014","article-title":"Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects","volume":"9","author":"Castellvi AE","year":"1984","unstructured":"Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine. 1984, 9:493-495. 10.1097\/00007632-198407000-00014","journal-title":"Spine"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198005000-00003","article-title":"The thoracolumbar and lumbosacral transitional junctions","volume":"5","author":"Wigh RE","year":"1976","unstructured":"Wigh RE. The thoracolumbar and lumbosacral transitional junctions. Spine. 1976, 5:215-222. 10.1097\/00007632-198005000-00003","journal-title":"Spine"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.182.2.1732988","article-title":"Verification of lumbosacral segments on MR images: identification of transitional vertebrae","volume":"182","author":"Hahn PY","year":"1992","unstructured":"Hahn PY, Strobel JJ, Hahn FJ. Verification of lumbosacral segments on MR images: identification of transitional vertebrae. Radiology. 1992. 182, 182:580-581. 10.1148\/radiology.182.2.1732988","journal-title":"Radiology"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199909010-00017","article-title":"Determining the lumbar vertebral segments on magnetic resonance imaging","volume":"24","author":"Peh WC","year":"1999","unstructured":"Peh WC, Siu TH, Chan JH. Determining the lumbar vertebral segments on magnetic resonance imaging. Spine. 1999, 24:1852-1855. 10.1097\/00007632-199909010-00017","journal-title":"Spine"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.185.2.1410386","article-title":"Verification of lumbar vertebral bodies","volume":"185","author":"Ralston MD","year":"1992","unstructured":"Ralston MD, Dykes TA, Applebaum BI. Verification of lumbar vertebral bodies. Radiology. 1992, 185:615-616. 10.1148\/radiology.185.2.1410386","journal-title":"Radiology"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-015-2904-2","article-title":"Lumbar ribs: a comprehensive review","volume":"32","author":"Aly I","year":"2016","unstructured":"Aly I, Chapman JR, Oskouian RJ, Loukas M, Tubbs RS. Lumbar ribs: a comprehensive review. Childs Nerv Syst. 2016, 32:781-785. 10.1007\/s00381-015-2904-2","journal-title":"Childs Nerv Syst"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/620120","article-title":"A unique case of left second supernumerary and left third bifid intrathoracic ribs with block vertebrae and hypoplastic left lung","volume":"2013","author":"Mahajan PS","year":"2013","unstructured":"Mahajan PS, Hasan IA, Ahamad N, Al Moosawi NM. A unique case of left second supernumerary and left third bifid intrathoracic ribs with block vertebrae and hypoplastic left lung. Case Rep Radiol. 2013, 2013:620120. 10.1155\/2013\/620120","journal-title":"Case Rep Radiol"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-013-0286-0","article-title":"The prevalence of morphological changes in the thoracolumbar spine on whole-spine computed tomographic images","volume":"5","author":"Nakajima A","year":"2014","unstructured":"Nakajima A, Usui A, Hosokai Y, Kawasumi Y, Abiko K, Funayama M, Saito H. The prevalence of morphological changes in the thoracolumbar spine on whole-spine computed tomographic images. Insights Imaging. 2014, 5:77-83. 10.1007\/s13244-013-0286-0","journal-title":"Insights Imaging"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/jon19966156","article-title":"Butterfly vertebra","volume":"6","author":"Delgado A","year":"1996","unstructured":"Delgado A, Mokri B, Miller GM. Butterfly vertebra. J Neuroimaging. 1996, 6:56-58. 10.1111\/jon19966156","journal-title":"J Neuroimaging"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1179\/2042618613Y.0000000057","article-title":"Congenital \u2018butterfly vertebra\u2019 associated with low back pain: a case report","volume":"23","author":"Hopkins RM","year":"2015","unstructured":"Hopkins RM, Jh A. Congenital \u2018butterfly vertebra\u2019 associated with low back pain: a case report. J Manual Manipul Ther. 2015, 23:93-100. 10.1179\/2042618613Y.0000000057","journal-title":"J Manual Manipul Ther"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2015.7.3.406","article-title":"Differentiating between traumatic pathology and congenital variant: a case report of butterfly vertebra","volume":"7","author":"Karargyris O","year":"2015","unstructured":"Karargyris O, Lampropoulou-Adamidou K, Morassi LG, Stathopoulos IP, Chatziioannou SN, Pneumaticos SG. Differentiating between traumatic pathology and congenital variant: a case report of butterfly vertebra. Clin Orthop Surg. 2015, 7:406-409. 10.4055\/cios.2015.7.3.406","journal-title":"Clin Orthop Surg"},{"key":"ref22","article-title":"The early origin of vertebral anomalies, as illustrated by a 'butterfly vertebra'","volume":"149","author":"M\u00fcller F","year":"1986","unstructured":"M\u00fcller F, O'Rahilly R, Benson DR. The early origin of vertebral anomalies, as illustrated by a 'butterfly vertebra'. J Clin Anat. 1986, 149:157-169.","journal-title":"J Clin Anat"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.14245\/kjs.2015.12.3.190","article-title":"A tethered cord with hemivertebra: a case report and review of literature","volume":"12","author":"Asil K","year":"2015","unstructured":"Asil K, Yaldiz M, Yaldiz C, Ozkal B. A tethered cord with hemivertebra: a case report and review of literature. Korean J Spine. 2015, 12:190-192. 10.14245\/kjs.2015.12.3.190","journal-title":"Korean J Spine"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-018-0598-1","article-title":"Malformed vertebrae: a clinical and imaging review","volume":"9","author":"Chaturvedi A","year":"2018","unstructured":"Chaturvedi A, Klionsky NB, Nadarajah U, Chaturvedi A, Meyers SP. Malformed vertebrae: a clinical and imaging review. Insights Imaging. 2018, 9:343-355. 10.1007\/s13244-018-0598-1","journal-title":"Insights Imaging"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e3283327f57","article-title":"Congenital abnormalities associated with hemivertebrae in relation to hemivertebrae location","volume":"19","author":"Bollini G","year":"2010","unstructured":"Bollini G, Launay F, Docquier PL, Viehweger E, Jouve JL. Congenital abnormalities associated with hemivertebrae in relation to hemivertebrae location. J Pediatr Orthop B. 2010, 19:90-94. 10.1097\/BPB.0b013e3283327f57","journal-title":"J Pediatr Orthop B"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.8667","article-title":"Anatomical variations that can lead to spine surgery at the wrong level: part I cervical spine","volume":"12","author":"Shah M","year":"2020","unstructured":"Shah M, Halalmeh DR, Sandio A, Tubbs RS, Moisi MD\r\n. Anatomical variations that can lead to spine surgery at the wrong level: part I cervical spine. Cureus. 2020, 12:e8667. 10.7759\/cureus.8667","journal-title":"Cureus"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.19080\/OROAJ.2018.11.555803","article-title":"Posterior excision of hemivertebrae: the presence of a Hemilamina may be misleading","volume":"11","author":"Baker AD","year":"2018","unstructured":"Baker AD, Dupley LE, Gibson MJ, Bourne JT. Posterior excision of hemivertebrae: the presence of a Hemilamina may be misleading. Orthop Rheum. 2018, 11:555803. 10.19080\/OROAJ.2018.11.555803","journal-title":"Orthop Rheum"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.5803","article-title":"MDCT of variations and anomalies of the neural arch and its processes: part 1 pedicles, pars interarticularis, laminae, and spinous process","volume":"197","author":"Mellado JM","year":"2011","unstructured":"Mellado JM, Larrosa R, Mart\u00edn J, Yanguas N, Solanas S, Cozcolluela MR. MDCT of variations and anomalies of the neural arch and its processes: part 1 pedicles, pars interarticularis, laminae, and spinous process. Am J Roentgenol. 2011, 197:W104-W113. 10.2214\/AJR.10.5803","journal-title":"Am J Roentgenol"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.8.3.3380991","article-title":"The vertebral body radiographic configurations in various congenital and acquired disorders","volume":"8","author":"Kumar R","year":"1988","unstructured":"Kumar R, Guinto Jr FC, Madewell JE, Swischuk LE, David R. The vertebral body radiographic configurations in various congenital and acquired disorders. Radiographics. 1988, 8:455-485. 10.1148\/radiographics.8.3.3380991","journal-title":"Radiographics"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198808000-00021","article-title":"Symptomatic clasp-knife deformity of the spinous processes spine","volume":"13","author":"Goobar JE","year":"1988","unstructured":"Goobar JE, Erickson F, Pate D, Sartoris DJ, Resnick D\r\n. Symptomatic clasp-knife deformity of the spinous processes spine. Spine. 1988, 13:953-956. 10.1097\/00007632-198808000-00021","journal-title":"Spine"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199209000-00010","article-title":"Split cord malformation part I. A unified theory of embryogenesis for double spinal cord malformations","volume":"31","author":"Pang D","year":"1992","unstructured":"Pang D, Dias MS, Ahab-Barmada M. Split cord malformation part I. A unified theory of embryogenesis for double spinal cord malformations. Neurosurgery. 1992, 31:451-480. 10.1227\/00006123-199209000-00010","journal-title":"Neurosurgery"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1570750","article-title":"The effects of obesity on spine surgery. A systematic review of the literature","volume":"6","author":"Jackson II KL","year":"2016","unstructured":"Jackson II KL, Devine JG. The effects of obesity on spine surgery. A systematic review of the literature. Global Spine J. 2016, 6:394-400. 10.1055\/s-0035-1570750","journal-title":"Global Spine J"},{"key":"ref33","article-title":"Osteoporosis and the management of spinal degenerative disease (I)","volume":"5","author":"Tom\u00e9-Bermejo F","year":"2017","unstructured":"Tom\u00e9-Bermejo F, Pi\u00f1era AR, Alvarez-Galovich L. Osteoporosis and the management of spinal degenerative disease (I). Arch Bone Jt Surg. 2017, 5: 272-282.","journal-title":"Arch Bone Jt Surg"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.79769","article-title":"Wrong-level surgery. A unique problem in spine surgery","volume":"2","author":"Hsiang J","year":"2011","unstructured":"Hsiang J. Wrong-level surgery. A unique problem in spine surgery. Surg Neurol Int. 2011, 2:47. 10.4103\/2152-7806.79769","journal-title":"Surg Neurol Int"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.3171\/2009.12.SPINE09627","article-title":"How to avoid wrong-level and wrong-side errors in lumbar microdiscectomy","volume":"12","author":"Irace C","year":"2010","unstructured":"Irace C, Corona C. How to avoid wrong-level and wrong-side errors in lumbar microdiscectomy. J Neurosurg Spine. 2010, 12:660-665. 10.3171\/2009.12.SPINE09627","journal-title":"J Neurosurg Spine"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.21037\/jss.2017.02.06","article-title":"Factors predictive of topographical accuracy in spine level localization","volume":"3","author":"Tee JW","year":"2017","unstructured":"Tee JW, Rutges J, Marion T, et al.. Factors predictive of topographical accuracy in spine level localization. J Spine Surg. 2017, 3:23-30. 10.21037\/jss.2017.02.06","journal-title":"J Spine Surg"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.3171\/2011.3.SPINE10445","article-title":"Avoidance of wrong-level thoracic spine surgery. Intraoperative localization with preoperative percutaneous fiducial screw placement","volume":"16","author":"UpaDhyaya CD","year":"2012","unstructured":"UpaDhyaya CD, Wu JC, Chin CT, Balamurali G, Mummaneni PV. Avoidance of wrong-level thoracic spine surgery. Intraoperative localization with preoperative percutaneous fiducial screw placement. J Neurosurg Spine. 2012, 16:280-284. 10.3171\/2011.3.SPINE10445","journal-title":"J Neurosurg Spine"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198104000-00003","article-title":"Microsurgical and standard removal of the protruded lumbar disc. A comparative study","volume":"8","author":"Wilson DH","year":"1981","unstructured":"Wilson DH, Harbaugh R. Microsurgical and standard removal of the protruded lumbar disc. A comparative study. Neurosurgery. 1981, 8:422-427. 10.1227\/00006123-198104000-00003","journal-title":"Neurosurgery"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2013.02.055","article-title":"Redefining wrong site surgery and refining the surgical pause and checklist taking surgical safety to another level","volume":"81","author":"Ladak A","year":"2014","unstructured":"Ladak A, Spinner RJ. Redefining wrong site surgery and refining the surgical pause and checklist taking surgical safety to another level. World Neurosurg. 2014, 81:e33-e35. 10.1016\/j.wneu.2013.02.055","journal-title":"World Neurosurg"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/31973-anatomical-variations-that-can-lead-to-spine-surgery-at-the-wrong-level-part-iii-lumbosacral-spine","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T19:20:22Z","timestamp":1707506422000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/31973-anatomical-variations-that-can-lead-to-spine-surgery-at-the-wrong-level-part-iii-lumbosacral-spine"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,28]]},"references-count":39,"URL":"https:\/\/doi.org\/10.7759\/cureus.9433","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2020,7,28]]}}}