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Ramesh Sahjpaul

prevent wrong-site surgery but it will help to prevent wrong-sided surgery. In addition, routine use of intraoperative imaging guidance, where applicable, essentially eliminates wrong-site craniotomy. Whereas the authors correctly observe that external spinal landmarks do not readily identify surgical levels, we have found it useful to mark the planned level and side to the best approximation as this provides yet another checkpoint to reduce the risk of wrong-level and wrong-sided surgery. We have adopted an additional “concluding time-out” component that occurs at the