title: Wrong disc space level surgery: medicolegal implications.
abstract: BACKGROUND
  Operating the wrong disc level for herniated disc disease is a rarely reported complication. However, it is considered by many a breach in the standard of care. It is not unusual for litigation to result. Sixty-nine cases of wrong disc space level surgery were identified; 68 cases were the subject of lawsuits.
  
  
  METHODS
  Sixty-five lawsuit outcomes were published in a national monthly newsletter of malpractice cases, Medical Malpractice Verdicts, Settlements and Experts. Two cases came from medicolegal review, one case from a news article, and one case for which no claim was made.
  
  
  RESULTS
  Thirty-seven cases were settled. A plaintiff verdict was rendered in 18 cases and a defense verdict in 13 cases (42% of the cases that were decided by a jury).
  
  
  CONCLUSIONS
  The authors summarize steps to reduce the incidence of this misadventure. The authors recommend that the patient be advised of this potential and the patient be informed of the risk factors when special circumstances exist.
authors.affiliation: Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington 98195, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Goodkin
authors.forename: Lewis L
authors.initials: LL
authors.lastname: Laska
mesh_terms: D000328:Adult; D000368:Aged; D017586:Diskectomy / Q000009:adverse effects* / Q000331:legislation & jurisprudence*; D005260:Female; D006801:Humans; D007258:Informed Consent; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D016365:Liability, Legal; D008297:Male; D008318:Malpractice; D019300:Medical Errors; D008875:Middle Aged; D011787:Quality of Health Care; D012189:Retrospective Studies; D012307:Risk Factors