Spinal Fusion Surgery Causes Severe Complications

Case Overview

This case takes place in New York and involves a male patient who underwent a spinal fusion procedure which resulted in severe complications. During the procedure, the physician did not use fluoroscopic guidance, and despite obtaining a flash of blood, continued with the procedure. The physician lost sight of important tissues surrounding the patient’s spine at some point during the procedure, which caused him to cut a major blood vessel in the patient’s lower back. The physician continued the procedure until the patient flat-lined, and an emergency procedure was undertaken in an attempt to save the patient’s life. The patient survived, however he suffered multiple permanent injuries which will require ongoing care.

Questions to the Orthopedic Surgery expert and their responses

Do you regularly perform posterior lumbar fusions?

I regularly perform posterior lumbar fusions.

Have you ever seen this outcome from this procedure?

I have never had a patient develop this outcome from this procedure but there have been case reports of similar complications in the literature.

Do you believe fluoroscopic guidance should be used during this procedure to maintain visibility on the placement of the pituitary rongeur?

Fluoroscopic guidance is one way to assure proper orientation.

Have you ever been the target of a malpractice claim? If so, please explain.

I have never been the target of a malpractice claim.

Have you ever served as an expert witness on a similar matter?

I have not reviewed a similar case in the past but am familiar with the procedure and complication and would be happy to review on behalf of the plaintiff.

About the expert

This highly qualified and board certified orthopedic surgeon earned his MD at Washington University School of Medicine. He completed internship in general surgery and residency training in orthopedic surgery at Columbia University Medical Center as well as fellowship training in adult and pediatric surgery spinal surgery at Washington University Medical Center.