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Potential Complications and their Avoidance:
•Operating wrong level:
–A major complication of all spine surgery
–Avoided by using digital C-arm fluoroscopy for accurate anatomic localization
–Provocative discogram verifies level
•Dural Tear:
–Gross dural tear very rare
–Dural injury evidenced by spinal headache and presumed csf leak (less than 1%)
–No surgery required to repair a CSF leak
–Spinal headache responds to epidural blood patch
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Picture9
T10
T12
T10 and T12 disc herniation in a 13 thoracic vertebra case not T9 and T11 as referred originally
24 year old male with increasing thoracic radicular pain and 13 ribs