2023, Number 1
<< Back Next >>
Cir Columna 2023; 1 (1)
Basic principles of X-ray in spine surgery. Literature review. SILACO Ibero-Latin American Research Team
Luis BP, Salcido RMV, Jiménez ÁJM, Pereira P, Mario MR, Diez UMA, Duchén RLM, Magalhaes MC, Solorio GA, Itriago GMG, Muleiro EP, Yurac R
Language: Spanish
References: 14
Page: 32-37
PDF size: 162.82 Kb.
ABSTRACT
The use of X-rays is fundamental in the orthopedic practice, especially for minimally invasive spinal surgery. Radiation refers to the transmission of energy through any medium and can be transported as a wave or a particle. X-rays and computed tomography use ionizing radiation. Ionizing radiation is a potential risk for both patients and health professionals because it can produce an increase in free radicals that cause abnormalities in cellular DNA, which is correlated with various types of cancer. Orthopedists are five times more likely to develop cancer in their lifetime compared to other areas of healthcare personnel due to constant exposure to occupational radiation. The International Commission on Radiological Protection (ICRP) establishes three basic principles to meet its objectives: justification, optimization, and dose limit. The main purpose of radiation protection is to provide an appropriate level of protection for humans, without unduly limiting beneficial practices that result in exposure to ionizing radiation. It is very important to follow the recommendations for protection and maintenance of the equipment to reduce radiation to both health personnel and patients as far as possible.
REFERENCES
Raza M, Houston J, Geleit R, Williams R, Trompeter A. The use of ionising radiation in orthopaedic surgery: principles, regulations and managing risk to surgeons and patients. Eur J Orthop Surg Traumatol. 2021; 31: 947-955. Available in: https://doi.org/10.1007/s00590-021-02955-9
Riaz O, Vanker R, Aslam-Pervez N, Balachandar V, Aqil A. Improving patient and staff safety by minimising radiation exposure during trauma surgery: A simple and validated predictive model. The Surgeon. 2019; 18: 95-99. Available in: https://doi.org/10.1016/j.surge.2019.07.005
Bandela JR, Jacob RP, Arreola M, Griglock TM, Bova F, Yang M. Use of CT-based intraoperative spinal navigation: management of radiation exposure to operator, staff, and patients. World Neurosurgery. 2013; 79: 390-394. Available in: https://doi.org/10.1016/j.wneu.2011.05.019
Shah A, Nassri M, Kay J, Simunovic N, Mascarenhas VV, Andrade AJ, et al. Intraoperative radiation exposure in hip arthroscopy: a systematic review. HIP Int. 2019; 30: 267-275. Available in: https://doi.org/10.1177/1120700019887362
Cheriachan D, Hughes AM, du Moulin WSM, Williams C, Molnar R. Ionizing radiation doses detected at the eye level of the primary surgeon during orthopaedic procedures. Journal of Orthopaedic Trauma. 2016; 30: e230. Available in: https://doi.org/10.1097/BOT.0000000000000578
Mitchell EL, Furey P. Prevention of radiation injury from medical imaging. J Vasc Surg, 2011;53:22S-27S. Available in: https://doi.org/10.1016/j.jvs.2010.05.139
Chou LB, Lerner LB, Harris AHS, Brandon AJ, Girod S, Butler LM. Cancer prevalence among a cross-sectional survey of female orthopedic, urology, and plastic surgeons in the United States. Women's Health Issues. 2015; 25: 476-481. Available in: https://doi.org/10.1016/j.whi.2015.05.005
Dorado DPJ. Protección radiológica [Internet]. 2012. Disponible en: https://www.csn.es/documents/10182/914805/Protecci%C3%B3n%20radiol%C3%B3gica
Oddy M, Aldam C. Ionising radiation exposure to orthopaedic trainees: the effect of sub-specialty training. Ann R Coll Surg Engl. 2006; 88: 297-301. Available in: https://doi.org/10.1308/003588406x98702
Baudin C, Bernier M-O, Klokov D, Andreassi MG. Biomarkers of genotoxicity in medical workers exposed to low-dose ionizing radiation: systematic review and meta-analyses. Int J Mol Sci. 2021; 22: 7504. Available in: https://doi.org/10.3390/ijms22147504
Matityahu A, Duffy RK, Goldhahn S, Joeris A, Richter PH, Gebhard F. The Great Unknown- A systematic literature review about risk associated with intraoperative imaging during orthopaedic surgeries. Injury. 2017; 48: 1727-1734. Available in: https://doi.org/10.1016/j.injury.2017.04.041
Pires RE, Reis IGN, de Faria ÂRV, Giordano V, Labronici PJ, Belangero WD. The hidden risk of ionizing radiation in the operating room: a survey among 258 orthopaedic surgeons in Brazil. Patient Saf Surg. 2020; 14: 16. Available in: https://doi.org/10.1186/s13037-020-00238-6
Gowda SR, Mitchell CJ, Abouel-Enin S, Lewis C. Radiation risk amongst orthopaedic surgeons – Do we know the risk? J Perioper Pract. 2018; 29: 115-121. Available in: https://doi.org/10.1177/1750458918785268
Frane N, Bitterman A. Radiation safety and protection. [Internet] Treasure Island (FL): StatPearls Publishing; 2022. Available in: https://www.ncbi.nlm.nih.gov/books/NBK557499/