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Matthew J. Tormenti, Matthew B. Maserati, Christopher M. Bonfield, Peter C. Gerszten, John J. Moossy, Adam S. Kanter, Richard M. Spiro and David O. Okonkwo

sequelae. Wrong-Level Surgery The reported incidence of wrong-level surgery in the lumbar spine ranges from 0.03% to 0.04%. 1 , 21 Although adherence to the preoperative timeout process, review of relevant radiographs, and intraoperative localization have helped decrease rates of wrong-level and wrong-side surgery, wrong-level surgery is not preventable in all cases. One patient (0.2%) in our series underwent laminectomy and partial medial facetectomy at an unintended level before the improper localization was realized; TLIF was performed as planned at the level