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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2023, Number 3

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Acta Ortop Mex 2023; 37 (3)

Radiation exposure of the spine surgeon

Ladewig-Bernaldez G, Gómez-Flores G, González-Delgado A, Figueroa-Reyes F, Oropeza-Oropeza E, Collado-Arce M, Dufoo-Olvera M
Full text How to cite this article 10.35366/113071

DOI

DOI: 10.35366/113071
URL: https://dx.doi.org/10.35366/113071

Language: Spanish
References: 11
Page: 143-147
PDF size: 149.21 Kb.


Key words:

radiation exposure, spine surgeon, spinal surgery, radiological protection, dosimeters.

ABSTRACT

Introduction: in general, spine surgeons seek to minimize soft tissue damage by using less invasive approaches, which causes them to use intraoperative images much more frequently than other surgical specialties; therefore, they are at increased risk of radiation exposure. Objective: the aim of this work was to analyse the amount of radiation to which the spine surgeon is exposed in different scenarios. Material and methods: a prospective study with a descriptive, longitudinal non-randomized data source. We carried out this study in the period from 2015 to 2019, the radiologic protection consisted in lead apron, thyroid shield and leaded glasses, there were 10 badge dosimeters. Results: only 4 dosimeters were included in the study, the other six were excluded. During the study period one surgeon suffered thyroid cancer and other suffered of liposarcoma. In the protected group were two surgeons, in the group of aleatory exposition was one surgeon and in the unprotected group was one surgeon. In the study the dosimeter in the unprotected group received more amount of radiation in all the years, we did an inferential analysis per year related with the number of surgeries without significant correlation, we attribute this result because we didn't classified the type of surgery realized by each surgeon. Conclusion: we conclude that the spine surgeon must apply the primary methods of radiological protection and that the unprotected spine surgeon receives more amount of radiation in comparison of the protected ones.


REFERENCES

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  8. Yener ER, Burc H, Saka G, Akmaz I. Can radiation exposure to the surgeon can be reduced with freehand pedicle screw fixaxtion technique in pediatric spinal deformity correction? Spine (Phila Pa 1976). 2014; 39(6): 521-5.

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EVIDENCE LEVEL

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Acta Ortop Mex. 2023 May-Jun;37